Provider Demographics
NPI:1043207442
Name:LUGO-SOMOLINOS, AIDA M (MD)
Entity Type:Individual
Prefix:DR
First Name:AIDA
Middle Name:M
Last Name:LUGO-SOMOLINOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3100 THURSTON-BOWLES BLDG
Mailing Address - Street 2:UNC CB#7287
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599
Mailing Address - Country:US
Mailing Address - Phone:919-843-9447
Mailing Address - Fax:919-966-3898
Practice Address - Street 1:3100 THURSTON-BOWLES
Practice Address - Street 2:UNC CB#7287
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7287
Practice Address - Country:US
Practice Address - Phone:919-843-9447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8329207N00000X
NC200700631207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5907763Medicaid
NC5907763Medicaid
NC2070898Medicare PIN
PRE33795Medicare UPIN