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Individual

DR. ANDREA KAULARD LUGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60456715
WA
390200000X
Student in an Organized Health Care Education/Training Program
MT195501
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548587066
WA
01
P01643640
RR MEDICARE WVH
WA
Enumeration date
04/23/2010
Last updated
06/29/2022
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