Lucille Marie Lugowski
Dental Public Health
64 W 162nd St
South Holland
, Illinois 60473-2061
Lucille Marie Lugowski
Dental Public Health
64 W 162nd St
South Holland
, Illinois 60473-2061
(708) 225-2490
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Lucille Marie Lugowski
- 64 W 162nd St
- South Holland, IL
- Zip : 60473-2061
- Phone : (708) 225-2490
Second Address
- Lucille Marie Lugowski
- 64 W 162nd St
- South Holland, IL
- Zip : 60473-2061
- Phone : (708) 225-2490
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | IL |
National Provider Identifier
| NPI | 1326167081 |
|---|---|
| Provider Name | Lucille Marie Lugowski |
| First Address | South Holland, IL 60473-2061 |
| Second Address | South Holland, IL 60473-2061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.