Provider Demographics
NPI:1447594650
Name:LUGER, DEBORAH F (BA, LMP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:F
Last Name:LUGER
Suffix:
Gender:F
Credentials:BA, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 NE 171ST ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6152
Mailing Address - Country:US
Mailing Address - Phone:206-953-7688
Mailing Address - Fax:
Practice Address - Street 1:6121 12TH AVE NE
Practice Address - Street 2:UNIT C
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6703
Practice Address - Country:US
Practice Address - Phone:206-953-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00005389225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist