Provider Demographics
NPI:1598975401
Name:LUGIANO, DARREN MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:MICHAEL
Last Name:LUGIANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:STRATHMERE
Mailing Address - State:NJ
Mailing Address - Zip Code:08248-0032
Mailing Address - Country:US
Mailing Address - Phone:215-465-4465
Mailing Address - Fax:215-465-4489
Practice Address - Street 1:1801 S 20TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2021
Practice Address - Country:US
Practice Address - Phone:215-465-4465
Practice Address - Fax:215-465-4489
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor