Individual
MS. AWILDA ALTAGRACIA LUGO MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 PHOENIX AVE STE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(888) 965-5624
Mailing address
241-3 JUDITH LANE, WATERBURY, CT 06704
(203) 510-1187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6886
CT
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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