Individual
MS. GABRIELLE ALEXANDRA LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
815 E 15TH ST, DOUGLAS, AZ 85607-1631
(520) 364-5437
(520) 805-2986
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
273697
AZ
363LP0200X
Pediatric Nurse Practitioner
9311519
FL
Other
Enumeration date
10/27/2016
Last updated
02/20/2024
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