Provider Demographics
NPI:1093871170
Name:LUGO, FRANCISCO (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:LUGO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 16TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2847
Mailing Address - Country:US
Mailing Address - Phone:301-588-4811
Mailing Address - Fax:301-588-4813
Practice Address - Street 1:8555 16TH ST STE 250
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2847
Practice Address - Country:US
Practice Address - Phone:301-588-4811
Practice Address - Fax:301-588-4813
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01067213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD958933OtherAETNA HMO
MD213616OtherMAMSI
VA071137OtherANTHEM BC OF VA
MD4317899OtherAETNA PPO
DC60560001OtherBC OF DC FEDERAL
MD7020133OtherCIGNA
MD5296100001OtherDME MEDICARE
VA071137OtherANTHEM BC OF VA
DC60560001OtherBC OF DC FEDERAL