NPI 1164181806

Jessica Lugo

Practitioner PACE Provider Organization Shreveport, LA

Practice location

Address: 6201 Bert Kouns Industrial Loop Lot 645, Shreveport, LA 71129-5046
Phone: (318) 401-8618

Registered specialties (2)

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Louisiana →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1164181806
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2021
Record last updated: 9 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.