Individual
LAURA CECILIA LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18851 NE 29TH AVE STE 301, MIAMI, FL 33180-2813
(305) 682-1414
Mailing address
3062 BIRD AVE UNIT F1, MIAMI, FL 33133-4588
(305) 988-5191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25174
FL
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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