MEDICARE: DR. RICHARD KEVIN LUGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0100X	Aerospace Medicine Physician	0101244262	VA
2	207Q00000X	Family Medicine Physician	0101244262	VA

General Provider Information

NPI Number	:	1023269107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD KEVIN LUGER M.D.

Provider Business Mailing Address
First Line	:	1760 AF PENTAGON
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20330-0001
Country	:	US
Telephone Number	:	36-973-2557
Fax Number	:	36-141-6637

Provider Business Practice Location Address
First Line	:	1760 AF PENTAGON RM 4A870
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20330-1907
Country	:	US
Telephone Number	:	36-973-2557
Fax Number	:	703-614-1663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	06/09/2022

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