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Individual

NJIRA LUCIA LUGOGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
380 PARKLAND PLZ, ANN ARBOR, MI 48103-6201
(734) 615-3217
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002-01490
NC
207R00000X
Internal Medicine Physician
4301000896
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200201490
NC
207RP1001X
Pulmonary Disease Physician
Primary
4301111896
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2002-01490
MEDICAL LICENSE
NC
05
5903500
NC
Enumeration date
06/05/2006
Last updated
05/10/2021
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