Provider Demographics
NPI:1326298944
Name:LUGO, JAMES ANTHONY (DAOM, MPH, LAC,CPH)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANTHONY
Last Name:LUGO
Suffix:
Gender:M
Credentials:DAOM, MPH, LAC,CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 JEFFORDS ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-4502
Mailing Address - Country:US
Mailing Address - Phone:727-455-7362
Mailing Address - Fax:
Practice Address - Street 1:1619 JEFFORDS ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4502
Practice Address - Country:US
Practice Address - Phone:727-455-7362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2023171100000X
ORAC01016171100000X
WAAC60264885171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist