Individual
LISSETTE LUGO
Active
Individual
LISSETTE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
224552-1
NY
207L00000X
Anesthesiology Physician
Primary
25MA07961400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088064
—
NJ
05
—
02694668
—
NY
01
—
221948732001
TRICARE
NJ
Enumeration date
01/16/2006
Last updated
11/07/2023
Update your record
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