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Individual

MRS. AMANDA JOE LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Mailing address
207 ARLINGTON PL, CARROLLTON, VA 23314-2778
(617) 281-5813

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4630
VA

Other

Enumeration date
10/12/2016
Last updated
10/12/2016
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