Individual
GRACIELA M LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6611 BOEING DR, EL PASO, TX 79925-1010
(915) 780-6564
(915) 780-5303
Mailing address
6611 BOEING DR, EL PASO, TX 79925-1010
(915) 780-6564
(915) 780-5303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109989
TX
Other
Enumeration date
11/27/2007
Last updated
11/29/2007
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