Individual
ANGEL NICOLE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3936 CIRCLE DR, HOLMEN, WI 54636-9187
(608) 413-4825
Mailing address
1902 KANE ST, LA CROSSE, WI 54603-2130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-305587
TX
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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