Individual
GUSTAVO LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 724-8411
Mailing address
3156 VISTA WAY, OCEANSIDE, CA 92056-3622
(760) 439-6581
(760) 439-6585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G57240
CA
Other
Enumeration date
06/15/2006
Last updated
10/07/2008
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