Doctor Name: | MARIA AURORA LUGO |
NPI Number: | 1629263108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 16940 Hwy 14 Suite F Mojave, CA - 93280 |
Business Phone Number: | 6618245020 |
Business Fax Number: | 6618245028 |
Mailing Address: | 29325 Kimberlina Rd., WASCO |
State: | CA |
Postal Code: | 93280 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |