Individual
IRENE JUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6048 MARSHA SHARP FWY, LUBBOCK, TX 79407-3726
(806) 745-2200
Mailing address
612 N WINSTON AVE, LUBBOCK, TX 79416-1251
(806) 319-3180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP124538
TX
363LF0000X
Family Nurse Practitioner
693198
TX
Other
Enumeration date
01/30/2014
Last updated
10/28/2019
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