Provider Demographics
NPI:1922505726
Name:LUGUS, DARCIE ANNE
Entity Type:Individual
Prefix:MS
First Name:DARCIE
Middle Name:ANNE
Last Name:LUGUS
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 1:295 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-3191
Mailing Address - Country:US
Mailing Address - Phone:434-227-1553
Mailing Address - Fax:
Practice Address - Street 1:401 MCINTIRE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4579
Practice Address - Country:US
Practice Address - Phone:434-227-1553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool