Individual
DENISE M LUGO-CAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 771-7500
Mailing address
19116 33RD AVE W, MAIL STOP A-NO, LYNNWOOD, WA 98036-4706
(425) 771-7500
(425) 712-7905
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00041309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039593
LABOR AND INDUSTRIES
WA
01
—
180045486
RAILROAD MEDICARE
WA
01
—
3328LU
BLUE SHIELD NUMBER
WA
05
—
8321275
—
WA
01
—
US7404395
AETNA SPECIALIST PIN
WA
Enumeration date
10/04/2006
Last updated
11/29/2016
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