Provider Demographics
NPI:1760181952
Name:LUGINBILL, JILL MARIE
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:MARIE
Last Name:LUGINBILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 ROCKFORD WEST RD
Mailing Address - Street 2:
Mailing Address - City:WILLSHIRE
Mailing Address - State:OH
Mailing Address - Zip Code:45898-9507
Mailing Address - Country:US
Mailing Address - Phone:419-790-5244
Mailing Address - Fax:
Practice Address - Street 1:688 ROCKFORD WEST RD
Practice Address - Street 2:
Practice Address - City:WILLSHIRE
Practice Address - State:OH
Practice Address - Zip Code:45898-9507
Practice Address - Country:US
Practice Address - Phone:419-790-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide