Individual
LOURDES REBECCA ROSARIO LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3195 RETREAT DR APT 103, KISSIMMEE, FL 34741-7895
(656) 217-0802
Mailing address
3195 RETREAT DR APT 103, KISSIMMEE, FL 34741-7895
(656) 217-0802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11298
PR
208D00000X
General Practice Physician
Primary
ACN1104
FL
Other
Enumeration date
07/14/2006
Last updated
11/17/2025
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