Individual
AUGUSTIN IGULU LUKWANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
994 S HARRISON ROAD, TUCSON, AZ 85748
(520) 721-1887
(520) 721-0069
Mailing address
4039 E 25TH ST, TUCSON, AZ 85711-5682
(520) 312-0747
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BH4674
AZ
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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