Individual
JOSEPH GREGORY LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-6799
(337) 430-6950
Mailing address
PO BOX 122152 DEPT 2152, DALLAS, TX 75312-2152
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
302965
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426974
—
LA
01
—
MD.302965
STATE MEDICAL LICENSE
LA
Enumeration date
07/18/2005
Last updated
06/09/2022
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