Individual
EMILY LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2815 NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 745-6290
Mailing address
E12044 BENT TREE DR, BARABOO, WI 53913-9094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13219-24
WI
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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