Individual
DR. RAUL NELSON LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2421 W 21ST ST, STE B, CLOVIS, NM 88101
(757) 697-5775
(575) 742-7856
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(575) 769-7577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2022-1422
NM
Other
Enumeration date
01/25/2006
Last updated
02/08/2025
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