RICARDO LUGO

SHREVEPORT, LA
NPI1588078224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: LA  311638)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA  S-991)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  63027)
204E00000X Oral & Maxillofacial Surgery
(Licence: CA  A158305)
Enumeration Date2014-06-19
Last Update Date2019-07-24
Business Address
RICARDO LUGO DDS, MD
1501 KINGS HWY RM 530
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6036
Mailing Address
RICARDO LUGO DDS, MD
1501 KINGS HWY RM 530
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6036