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RICARDO LUGO DDS MD NPI 1588078224


NPI Information

NPI: 1588078224
Provider Name: RICARDO LUGO, DDS, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1501 KINGS HWY RM 530
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-6036
Get Directions

Ricardo Lugo, DDS, MD is an oral maxillofacial surgery in Shreveport, LA with 7 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Ricardo Lugo, DDS, MD NPI is 1588078224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1501 KINGS HWY RM 530
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-6036
Fax: (318) 675-6129

The NPI 1588078224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 7/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery63027CALIFORNIANo
21223S0112XDentistOral and Maxillofacial SurgeryS-991LOUISIANANo
3204E00000XOral & Maxillofacial Surgery311638LOUISIANAYes
4204E00000XOral & Maxillofacial SurgeryA158305CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.