| Organization Name: | LEIGHTON LUGG PROPERTIES LLC |
| NPI Number: | 1023428844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEIGHTON RICARDO LUGG (PHARMACIST) |
| Mailing Address: | 8431 Nw 38th St Pembroke Pines |
| State: | FL US |
| Postal Code: | 330245235 |
| Phone Number: | 9542040632 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2014 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | PS41976 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |