Ms Sophia Marie Lugo, NURSE PRACTITIONER | |
501 S Buena Vista St, Burbank, CA 91505-4809 | |
(818) 843-5111 | |
Not Available |
Full Name | Ms Sophia Marie Lugo |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 501 S Buena Vista St, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932933421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 95031078 (California) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 95031078 (California) | Primary |
Entity Name | Providence Medical Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
---|---|
Ms Sophia Marie Lugo, NURSE PRACTITIONER 1267 Stoner Ave Apt 102, Los Angeles, CA 90025-1679 Ph: (805) 551-4994 | Ms Sophia Marie Lugo, NURSE PRACTITIONER 501 S Buena Vista St, Burbank, CA 91505-4809 Ph: (818) 843-5111 |
Caitlin Provost Conlon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 S Buena Vista St, Burbank, CA 91505 Phone: 818-557-2671 | |
Anasheh Avanes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Olive Ave, Burbank, CA 91506 Phone: 747-477-1411 | |
Jennifer S Lee, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Buena Vista St Ste 325, Burbank, CA 91505 Phone: 818-842-7145 | |
Lynn Adora Lima, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Minute Clinic 9795 Burbank, 511 N Hollywood Way, Burbank, CA 91505 Phone: 818-841-0710 | |
Jessica Cuesta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 W Olive Ave, Burbank, CA 91502 Phone: 818-848-5561 | |
Magden M Amirian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 E Harvard Rd, Burbank, CA 91501 Phone: 818-726-5686 | |
Jesselyn Joy Walter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 W Magnolia Blvd, Burbank, CA 91506 Phone: 323-620-3463 |