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Edward Lugo, MM, LMT, CNS

Massage Therapist in Brandon, FL. Individual provider (NPI-1).

NPI number1982254074
StatusActive
Last updated in NPPESSep 19, 2019

Details

NPI
1982254074
Entity type
Individual (NPI-1)
Name
Edward Lugo
Credential
MM, LMT, CNS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 19, 2019
Last updated
Sep 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA77362FLYes

Practice location

1112 Kyle Wood Ln
Brandon, FL 33511-4850

Phone 813-820-3030

Mailing address

1112 Kyle Wood Ln
Brandon, FL 33511-4850

Phone 813-820-3030

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