Individual
VIVIAN L LUGO-ESCHENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 N BEAUREGARD ST, SUITE 330, ALEXANDRIA, VA 22311-1748
(703) 370-2400
(703) 370-7214
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049923
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073601035
—
VA
Enumeration date
10/11/2006
Last updated
01/14/2010
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