Provider Demographics
NPI:1801058896
Name:LUGO, ALISON ANN (BS)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ANN
Last Name:LUGO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ANN
Other - Last Name:EMMIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:822 W TOWN AND COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4712
Mailing Address - Country:US
Mailing Address - Phone:714-547-7559
Mailing Address - Fax:714-543-4431
Practice Address - Street 1:2416 S MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3290
Practice Address - Country:US
Practice Address - Phone:714-966-9999
Practice Address - Fax:714-966-9996
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor