Provider Information for 1669249454
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ROBERT LUGO LMHC
Sex: Male
NPI: 1669249454
Last Updated: 2023-12-11
Certification Date: 2023-12-11
Certification Date: 2023-12-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1669249454 | ||||||||
| Enumeration Date | 2023-12-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9527 N MAY APPLE DR MCCORDSVILLE, IN 46055-4405 United States Phone: 317-414-6471 | Fax: | ||||||||
| Primary Practice Address | 9527 N MAY APPLE DR MCCORDSVILLE, IN 46055-4405 United States Phone: 317-414-6471 | Fax: | ||||||||
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