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1912236290
NICOLE L LUGOS
TAMPA, FL
NPI
1912236290
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Former Name
TARA NICOLE LAFRAGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 3325)
Enumeration Date
2009-12-15
Last Update Date
2009-12-15
Business Address
Mrs. NICOLE L LUGOS MSN, APRN, ACNP
12425 RACE TRACK RD
TAMPA, FL 33626-3102
Phone number: 800-776-7713
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Mailing Address
Mrs. NICOLE L LUGOS MSN, APRN, ACNP
116 CROWN COLONY CT
LEXINGTON, SC 29073-7144
Phone number: 803-996-5343
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