Doctor Name: | KARL ANDRE LUGOSCH |
NPI Number: | 1053433813 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA001670L |
Business Practice Address: | 3120 Highland Rd Hermitage, PA - 161484512 |
Business Phone Number: | 7243422663 |
Business Fax Number: | 7243428988 |
Mailing Address: | 3120 Highland Rd, HERMITAGE |
State: | PA |
Postal Code: | 161484512 |
Phone Number: | 7243422663 |
Fax Number: | 7243428988 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA001670L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |