NPI Index

JESSICA LUGO

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Active Individual
NPI: 1164181806

Practice Address

6201 BERT KOUNS INDUSTRIAL LOOP LOT 645
Shreveport, LA 71129

Phone: (318) 401-8618

Specialties

Specialty Code Primary License
In Home Supportive Care 253Z00000X No -
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X Yes -

Frequently Asked Questions

NPI 1164181806 is the National Provider Identifier for JESSICA LUGO, a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization provider located in Shreveport, LA. This NPI was enumerated on December 9, 2021.
JESSICA LUGO practices at 6201 BERT KOUNS INDUSTRIAL LOOP LOT 645, Shreveport, LA 71129.

Quick Facts

NPI
1164181806
Type
Individual
Enumerated
Dec 9, 2021
Last Updated
Dec 9, 2021

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