Provider Demographics
NPI:1023108305
Name:DUGGER, DOROTHY E G (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:E G
Last Name:DUGGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:202 MYRTLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-5628
Mailing Address - Country:US
Mailing Address - Phone:813-909-8299
Mailing Address - Fax:813-909-8399
Practice Address - Street 1:2020 LAND O LAKES BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-2931
Practice Address - Country:US
Practice Address - Phone:813-242-7880
Practice Address - Fax:813-242-7883
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME684032084P0800X
PAMD027364E2084P0800X
VA01010549352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry