Individual
LORRAINE MARIE LUGO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 BLVD LUIS A FERRE, PONCE, PR 00717-0776
(787) 290-1111
(787) 290-1111
Mailing address
AC 7 CALLE 29C, JARDINES DEL CARIBE, PONCE, PR 00728
(787) 298-4838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3696
PR
103TS0200X
School Psychologist
3696
PR
Other
Enumeration date
01/26/2015
Last updated
03/17/2018
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