Organization
RAQUEL LUGO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL LUGO MD (OWNER)
(860) 344-0154
Entity
Organization
Contact information
Practice address
547 MAIN ST, SUITE 103, MIDDLETOWN, CT 06457-2806
(860) 344-0154
(860) 344-0154
Mailing address
547 MAIN ST, SUITE 103, MIDDLETOWN, CT 06457-2806
(860) 344-0154
(860) 344-0154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042647
CT
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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