NPI 1588078224

Ricardo Lugo, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Shreveport, LA

Practice location

Address: 1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228
Phone: (318) 675-6036
Fax: (318) 675-6129

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 311638 (LA)

Other Oral & Maxillofacial Surgery providers in Louisiana →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence S-991 (LA)

Other Dentist providers in Louisiana →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 63027 (CA)

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence A158305 (CA)

Registry record

NPI: 1588078224
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2014
Record last updated: 24 Jul 2019

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.