Basic Information
Provider Information
NPI: 1427127224
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUGIANO
FirstName: ANGELA
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1717
Address2:  
City: BURLINGTON
State: NC
PostalCode: 272161717
CountryCode: US
TelephoneNumber: 3365381234
FaxNumber: 3365846811
Practice Location
Address1: 1234 HUFFMAN MILL RD
Address2:  
City: BURLINGTON
State: NC
PostalCode: 272158700
CountryCode: US
TelephoneNumber: 3365381234
FaxNumber: 3365846811
Other Information
ProviderEnumerationDate: 11/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X313NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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