Individual
KRYSTAL LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 PROFESSIONAL PLZ STE 111, GERMANTOWN, TN 38138-1534
(901) 854-5455
Mailing address
3940 SUMMER BREEZE CV, MEMPHIS, TN 38125-2840
(901) 801-1315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4666
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
02/23/2026
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