Individual
LUIS ALBERTO LUGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5130 S FLORIDA AVE STE 410, LAKELAND, FL 33813-2539
(863) 937-8814
Mailing address
125 GRANADA ST, LAKELAND, FL 33805-2207
(863) 808-7914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56106
FL
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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