Provider Demographics
NPI:1336320100
Name:FERNANDEZ LUGO, FRANCES MAGDIELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:MAGDIELLE
Last Name:FERNANDEZ LUGO
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:68 CALLE AQUAMARINA
Mailing Address - Street 2:URBANIZACION VILLA BLANCA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1908
Mailing Address - Country:US
Mailing Address - Phone:787-744-4447
Mailing Address - Fax:787-653-8261
Practice Address - Street 1:68 CALLE AQUAMARINA
Practice Address - Street 2:URBANIZACION VILLA BLANCA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1908
Practice Address - Country:US
Practice Address - Phone:787-744-4447
Practice Address - Fax:787-653-8261
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2545103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical