Most Relevant Information
Provider Data
NPI Number: | 1003234667 |
Provider Name: | LILLYBETH MUNIZ LUGO |
Entity Type: | Individual |
Taxonomy Code: | 1710I1003X |
Specialty: | Military Health Care Provider |
License Number: |
Most Important Dates
Enumeration Date: | 04/01/2014 |
Last Updated: | 04/10/2018 |
Provider Practice Location
340 MAGNOLIA CIR
TYNDALL AFB
FL
324035604
Practice Location Phone/Fax
Phone: | 8502837603 |
Fax: |
Provider Mailing Location
340 MAGNOLIA CIR
TYNDALL AFB
FL
324035604
Provider Mailing Phone/Fax
Phone: | 8502837370 |
Fax: |