Individual
COURTNEY LUGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 GREENTREE DR, MEDFORD, NY 11763-1682
(631) 730-6322
(631) 730-6322
Mailing address
22 GREENTREE DR, MEDFORD, NY 11763-1682
(631) 730-6322
(631) 730-6322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1894830
NY
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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