Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 200700631 | NC |
N | 207N00000X | Dermatologist | 8329 | PR |
NPI | 1043207442 |
---|---|
Provider Name | Dr. Aida M Lugo-Somolinos |
First Address | Chapel Hill, NC 27599 |
Second Address | Chapel Hill, NC 27599-7287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5907763 | (05) | NC |
E33795 | (02) | PR |