Lugo, Nichole E
Lugo, Nichole E is an individual health care provider with primary practice located at 11040 Vista Del Sol Dr Ste C , El Paso TX 79935-4314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lugo, Nichole E can be contacted via phone (915) 591-7704.Contact Information
Primary practice address
11040 Vista Del Sol Dr Ste C
El Paso TX 79935-4314
Phone: (915) 591-7704
Fax: (915) 591-7734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03694 | Texas |
Profile Details
| NPI number | 1265437347 |
|---|---|
| LBN Legal business name | Lugo, Nichole E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jun 24th, 2010 - about 14 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 | 1265437347 | NPPES |
| Texas | MEDICAID | 182328802 | |
| Texas | MEDICAID | 68325886 | |
| Texas | MEDICAID | 182328801 |
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