Individual
JENNIFER LEE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3101 FIELDS SOUTH DR., CHAMPAIGN, IL 61822
(217) 366-1243
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1243
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015276
IL
Other
Enumeration date
12/29/2016
Last updated
01/05/2022
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