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NPI Code Detail

MEDICARE: SANDRA LUGO SANTIAGO M.S.CCC-SLP

MEDICARE: SANDRA LUGO SANTIAGO M.S.CCC-SLP
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
1235Z00000XSpeech-Language Pathologist101986TX

General Provider Information

NPI Number : 1205127719
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LUGO SANTIAGO M.S.CCC-SLP
Provider Business Mailing Address
First Line : 9600 SIMS DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-7225
Country : US
Telephone Number : 915-434-0000
Fax Number :
Provider Business Practice Location Address
First Line : 9600 SIMS DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-7225
Country : US
Telephone Number : 915-434-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 10/21/2022

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Directions to “ SANDRA LUGO SANTIAGO M.S.CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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