Provider Demographics
NPI:1043651474
Name:DLUG, DEBRA (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:DLUG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 FEDERAL RD STE 18
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2042
Mailing Address - Country:US
Mailing Address - Phone:203-775-7102
Mailing Address - Fax:203-775-6843
Practice Address - Street 1:499 FEDERAL RD STE 18
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2042
Practice Address - Country:US
Practice Address - Phone:203-775-7102
Practice Address - Fax:203-775-6843
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor