Individual
MS. LAURETTA R LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6622 BLANCHARD AVE, FONTANA, CA 92336-3270
(909) 357-1137
(909) 357-1137
Mailing address
6622 BLANCHARD AVE, FONTANA, CA 92336-3270
(909) 357-1137
(909) 357-1137
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
033316
CA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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