Individual
PAIGE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
710 COLUMBUS AVE, WEST BRANCH, MI 48661-8761
(989) 787-0522
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
11/01/2023
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