Individual
DR. MARESA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 AVENUE L SE, WINTER HAVEN, FL 33880-4219
(863) 485-8242
(863) 220-7522
Mailing address
675 AVENUE L SE, WINTER HAVEN, FL 33880-4219
(863) 485-8242
(863) 220-7522
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101249381
VA
2084N0400X
Neurology Physician
Primary
ME141199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YUMLF
FLORIDA BLUE
FL
Enumeration date
12/09/2010
Last updated
01/13/2025
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