Ms Gabrielle Alexandra Lugo, ARNP | |
815 E 15th St, Douglas, AZ 85607-1631 | |
(520) 364-5437 | |
(520) 805-2986 |
Full Name | Ms Gabrielle Alexandra Lugo |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 815 E 15th St, Douglas, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174075964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 9311519 (Florida) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 273697 (Arizona) | Primary |
Entity Name | Chiricahua Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
Mailing Address | Practice Location Address |
---|---|
Ms Gabrielle Alexandra Lugo, ARNP 1205 N F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-1429 | Ms Gabrielle Alexandra Lugo, ARNP 815 E 15th St, Douglas, AZ 85607-1631 Ph: (520) 364-5437 |
Lilia Lara, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3285 | |
Oyeronke O Ajiboye-lala, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133 | |
Ricardo Duarte, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521 | |
Kayla Rose Percy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 N F Ave, Douglas, AZ 85607 Phone: 520-364-1429 | |
Shirley L. Bayham-hicks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-4261 | |
Deborah Judith Kinder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521 Fax: 520-805-5969 |