Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LUGO
Active Sole ProprietorJESSICA LUGO is a Program of All-Inclusive Care for the Elderly (PACE) healthcare provider located in SHREVEPORT, Louisiana. NPI 1164181806 is currently active in the NPPES registry. Verify at CMS.
Program of All-Inclusive Care for the Elderly (PACE) · SHREVEPORT, LA
Registration Details
- NPI Number
- 1164181806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2021 (4.7143496485728 yrs)
- Last Updated
- Dec 9, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
6201 BERT KOUNS INDUSTRIAL LOOP LOT 645SHREVEPORT, LA, 711295046Browse LA providers · Browse ZIP 71129
- Phone
- 3184018618
- Primary Specialty
-
Program of All-Inclusive Care for the Elderly (PACE)
251T00000X
- Additional Specialty
- Program of All-Inclusive Care for the Elderly (PACE)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.