Organization
SAMUEL LUGO M.D., F.A.C.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LUGO M.D. (PRESIDENT)
(314) 646-0478
Entity
Organization
Contact information
Practice address
5213 HAMPTON AVE, SAINT LOUIS, MO 63109-3170
(314) 646-0478
Mailing address
5213 HAMPTON AVE, SAINT LOUIS, MO 63109-3170
(314) 646-0478
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
28888
MO
Other
Enumeration date
10/03/2006
Last updated
02/27/2009
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