Individual
SAMANTHA E. LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(201) 488-0408
Mailing address
331 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(201) 488-0408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00422600
NJ
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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