Individual
AMANDA L. LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022-2373
(360) 825-7500
(360) 825-3370
Mailing address
2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022-2373
(360) 825-7500
(360) 825-3370
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA70012203
WA
Other
Enumeration date
05/07/2015
Last updated
01/05/2026
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