| Mahana Lugo Llc | |
|
3655 Kenbrooke Ct Kalamazoo MI 49006-5438 | |
| (269) 365-3570 | |
| Not Available |
| Full Name | Mahana Lugo Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3655 Kenbrooke Ct, Kalamazoo, Michigan |
| Authorized Official Name and Position | Mahana Lugo-montenegro (OWNER) |
| Authorized Official Contact | 2693653570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahana Lugo Llc 3655 Kenbrooke Ct Kalamazoo MI 49006-5438 Ph: (269) 365-3570 | Mahana Lugo Llc 3655 Kenbrooke Ct Kalamazoo MI 49006-5438 Ph: (269) 365-3570 |
| NPI Number | 1083479976 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083479976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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