| Irving A. Lugo, M.d., P.a. | |
|
2311 W Cone Blvd Suite 235 Greensboro NC 27408-4042 | |
| (336) 288-6440 | |
| Not Available |
| Full Name | Irving A. Lugo, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2311 W Cone Blvd, Greensboro, North Carolina |
| Authorized Official Name and Position | Irving A Lugo (OWNER) |
| Authorized Official Contact | 3362886440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irving A. Lugo, M.d., P.a. 2311 W Cone Blvd Suite 235 Greensboro NC 27408-4042 Ph: (336) 288-6440 | Irving A. Lugo, M.d., P.a. 2311 W Cone Blvd Suite 235 Greensboro NC 27408-4042 Ph: (336) 288-6440 |
| NPI Number | 1790065456 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790065456 | NPI | - | NPPES |
| B5708 | Other | NC | MEDCOST |
| 8953174 | Medicaid | NC | |
| 53174 | Other | NC | BCBSNC |
| 79578 | Other | NC | CIGNA |
| 4136199 | Other | NC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 30835 (North Carolina) | Primary |
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