Provider Demographics
NPI:1811964752
Name:LUGER, STEVEN W (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:LUGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MIAMIS RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2224
Mailing Address - Country:US
Mailing Address - Phone:860-284-2945
Mailing Address - Fax:860-284-4946
Practice Address - Street 1:37 MIAMIS ROAD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-5719
Practice Address - Country:US
Practice Address - Phone:860-284-4945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022974207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001229749Medicaid
B39537Medicare UPIN
080155739Medicare PIN
CT080001374Medicare PIN