Individual
AGRICEL LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3173
(936) 634-0528
(936) 634-0534
Mailing address
3 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3173
(936) 634-0528
(936) 634-0534
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
K1536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029523001
—
TX
Enumeration date
10/13/2006
Last updated
06/09/2008
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