Individual
DR. ANTHONY F LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1989 MIAMISBURG CENTERVILLE RD, SUITE 301, CENTERVILLE, OH 45459-3859
(937) 436-0300
(937) 438-4694
Mailing address
2912 SPRINGBORO W, STE 201, DAYTON, OH 45439-1674
(937) 436-0300
(937) 438-4694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35036236
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227892
UNICARE
OH
01
—
0120511
UNITED HEALTHCARE
OH
01
—
080189849
RAILROAD MEDICARE
OH
05
—
2361822
—
OH
01
—
35036236L
MEDICAL LICENSE
OH
01
—
421534506033
CARESOURCE
OH
01
—
996267
AETNA
OH
01
—
D3623604
HUMANA/CHOICECARE
OH
01
—
OC04291
NATIONWIDE HEALTH PLAN
OH
Enumeration date
06/01/2005
Last updated
05/29/2015
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