Organization
FABIAN LUGO MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIAN LUGO M.D., (PHYSICIAN)
(337) 989-9971
Entity
Organization
Contact information
Practice address
913 S COLLEGE RD, SUITE 107, LAFAYETTE, LA 70503-3060
(337) 989-9971
(337) 989-9986
Mailing address
PO BOX 52465, LAFAYETTE, LA 70505-2465
(337) 989-9971
(337) 989-9986
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
020740
LA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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