Individual
MR. MICHAEL THOMAS LUGARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7500 BROOKTREE RD STE 302, WEXFORD, PA 15090-9285
(412) 367-0600
(412) 367-7079
Mailing address
7500 BROOKTREE RD STE 302, WEXFORD, PA 15090-9285
(412) 367-0600
(412) 367-7079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
C05120
MD
363AS0400X
Surgical Physician Assistant
Primary
MA058048
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029831110001
—
PA
Enumeration date
07/26/2013
Last updated
05/26/2021
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