Provider Demographics
NPI:1134101710
Name:NARAG, LANA LUGUE (MD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:LUGUE
Last Name:NARAG
Suffix:
Gender:F
Credentials:MD
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 615
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89407-0615
Mailing Address - Country:US
Mailing Address - Phone:775-428-2747
Mailing Address - Fax:775-428-2179
Practice Address - Street 1:1077 NEW RIVER PARKWAY
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-6894
Practice Address - Country:US
Practice Address - Phone:775-428-2747
Practice Address - Fax:775-428-2179
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8787208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVG84513Medicare UPIN