Doctor Name: | KRISTEN E LUGGER |
NPI Number: | 1083681332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, GNP-BC, APNP |
License Number: | 0208183 |
Business Practice Address: | 2514 S 102nd St Ste 160 West Allis, WI - 532272142 |
Business Phone Number: | 4142550304 |
Business Fax Number: | |
Mailing Address: | Po Box 1239, TROY |
State: | MI |
Postal Code: | 480991239 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 0208183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |