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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245248426 NPPES
Florida Other OPA174151 MEDICARE IDENTIFICATION NUMBER

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