Lugo, Kelli
Lugo, Kelli is an individual health care provider with primary practice located at 9077 S Federal Hwy , Port St Lucie FL 34952-3405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lugo, Kelli can be contacted via phone (772) 335-4770.Contact Information
Primary practice address
9077 S Federal Hwy
Port St Lucie FL 34952-3405
Phone: (772) 335-4770
Fax: (772) 335-4133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9107919 | Florida |
Profile Details
NPI number | 1245248426 |
---|---|
LBN Legal business name | Lugo, Kelli |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Feb 18th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245248426 | NPPES |
Florida | Other | OPA174151 | MEDICARE IDENTIFICATION NUMBER |
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