Individual
MRS. NICOLE L LUGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, ACNP
Contact information
Practice address
12425 RACE TRACK RD, TAMPA, FL 33626-3102
(800) 776-7713
Mailing address
116 CROWN COLONY CT, LEXINGTON, SC 29073-7144
(803) 996-5343
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3325
SC
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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