Most Relevant Information
Provider Data
| NPI Number: | 1003436478 |
| Provider Name: | ELENA LUGO |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2020 |
| Last Updated: | 04/25/2020 |
Provider Practice Location
624 HAWKINS AVE
RONKONKOMA
NY
117792375
Practice Location Phone/Fax
| Phone: | 6312403579 |
| Fax: |
Provider Mailing Location
93 ELLENSUE DR
DEER PARK
NY
117291008
Provider Mailing Phone/Fax
| Phone: | 6318850431 |
| Fax: |