Individual
TANYA A LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(908) 688-8800
(908) 688-2377
Mailing address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(908) 688-8800
(908) 688-2377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00054900
NJ
Other
Enumeration date
05/08/2007
Last updated
10/18/2011
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