Provider Demographics
NPI:1588177638
Name:LUGAILA, NORA (BSRDH, PHDHP)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:
Last Name:LUGAILA
Suffix:
Gender:F
Credentials:BSRDH, PHDHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LANCELOT LN
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3378
Mailing Address - Country:US
Mailing Address - Phone:412-264-7352
Mailing Address - Fax:
Practice Address - Street 1:1 LANCELOT LN
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-3378
Practice Address - Country:US
Practice Address - Phone:412-264-7352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH008693L124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist