MEDICARE: MARY LUGO-TERRAZAS

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	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1295870681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LUGO-TERRAZAS

Provider Business Mailing Address
First Line	:	7012 SANTA FE DR
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79407-8210
Country	:	US
Telephone Number	:	806-796-0463
Fax Number	:

Provider Business Practice Location Address
First Line	:	7012 SANTA FE DR
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79407-8210
Country	:	US
Telephone Number	:	806-796-0463
Fax Number	:

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	03/22/2026

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Directions to “ MARY LUGO-TERRAZAS ” Practice Location

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