BRENDA J LUGO

DES MOINES, IA
NPI1841810645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  105583)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: IA  105583)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-21
Last Update Date2024-02-05
Business Address
BRENDA J LUGO Physician Assistant
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4211
Mailing Address
BRENDA J LUGO Physician Assistant
810 PIERCE ST
IOWA FALLS, IA 50126-1417
Phone number: 515-480-3845