Provider Demographics
NPI:1952678393
Name:DUGO, LAWRENCE RICHARD
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:RICHARD
Last Name:DUGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ANTHONY WAY
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-8404
Mailing Address - Country:US
Mailing Address - Phone:732-859-1912
Mailing Address - Fax:
Practice Address - Street 1:5 ANTHONY WAY
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NJ
Practice Address - Zip Code:07727-3760
Practice Address - Country:US
Practice Address - Phone:732-859-1912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies