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NPI Code Detail

MEDICARE: ESTEBAN ENRIQUE LUGO M.D.

MEDICARE: ESTEBAN ENRIQUE LUGO 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
1207L00000XAnesthesiology PhysicianME101788FL
2207LP3000XPediatric Anesthesiology PhysicianME101788FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588768808
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTEBAN ENRIQUE LUGO M.D.
Provider Business Mailing Address
First Line : 601 5TH ST S
Second Line : DEPT. 6941
City : SAINT PETERSBURG
State : FL
Zip : 33701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 6TH AVE S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33701-4634
Country : US
Telephone Number : 727-767-8480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2006
Last Update Date : 08/15/2012

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Directions to “ ESTEBAN ENRIQUE LUGO M.D.” Practice Location

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