Individual
JUSTIN LUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60450637
WA
207P00000X
Emergency Medicine Physician
MT19580
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053646885
—
WA
01
—
P01410231
RR MEDICARE CWH
WA
01
—
P01410365
RR MEDICARE WVH
WA
Enumeration date
10/13/2009
Last updated
07/21/2022
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