Provider Demographics
NPI:1295037448
Name:LUGO, CLAUDIO ALBERTO
Entity type:Individual
Prefix:
First Name:CLAUDIO
Middle Name:ALBERTO
Last Name:LUGO
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 1:87 HARRY BRYANT RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13493-2218
Mailing Address - Country:US
Mailing Address - Phone:315-491-1810
Mailing Address - Fax:315-964-2191
Practice Address - Street 1:87 HARRY BRYANT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13493-2218
Practice Address - Country:US
Practice Address - Phone:315-491-1810
Practice Address - Fax:315-964-2191
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor