Organization
IRVING A. LUGO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING A LUGO MD (OWNER)
(336) 288-6440
Entity
Organization
Contact information
Practice address
2311 W CONE BLVD, SUITE 235, GREENSBORO, NC 27408-4042
(336) 288-6440
Mailing address
2311 W CONE BLVD, SUITE 235, GREENSBORO, NC 27408-4042
(336) 288-6440
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30835
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4136199
AETNA
NC
01
—
53174
BCBSNC
NC
01
—
79578
CIGNA
NC
05
—
8953174
—
NC
01
—
B5708
MEDCOST
NC
Enumeration date
08/25/2011
Last updated
09/11/2014
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