Most Relevant Information
Provider Data
| NPI Number: | 1003463910 |
| Provider Name: | DANIEL LUGO |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2019 |
| Last Updated: | 08/26/2019 |
Provider Practice Location
6725-1 S EASTERN AVE
LAS VEGAS
NV
89119
Practice Location Phone/Fax
| Phone: | 7023316200 |
| Fax: | 7023316201 |
Provider Mailing Location
6725-1 S EASTERN AVE
LAS VEGAS
NV
89119
Provider Mailing Phone/Fax
| Phone: | 7023316200 |
| Fax: | 7023316201 |