Individual
AMBAR LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2085
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2085
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
011320
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2022
Last updated
12/11/2022
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