Individual
ERNIE TAIRON LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5210 STATE ROAD N 33, LOT 8, LAKELAND, FL 33805
(787) 527-8411
Mailing address
5210 STATE ROAD N 33, LOT 8, LAKELAND, FL 33805
(787) 527-8411
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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