Provider Demographics
NPI:1841452687
Name:LUCERO-UGALINO, LULITA (MD)
Entity type:Individual
Prefix:
First Name:LULITA
Middle Name:
Last Name:LUCERO-UGALINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7210 FLAME LEAF CT
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4093
Mailing Address - Country:US
Mailing Address - Phone:301-337-1219
Mailing Address - Fax:888-472-0377
Practice Address - Street 1:6B INDUSTRIAL PARK DRIVE
Practice Address - Street 2:UNIT 8
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20735-2073
Practice Address - Country:US
Practice Address - Phone:301-337-1219
Practice Address - Fax:888-472-0377
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2011-0511207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine