NPIMap

Organization Active NPI

Fabian Lugo MD, a Professional Medical Corporation

  • Neurological Surgery Physician
  • Lafayette, LA
National Provider Identifier
1013209303
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
020740 Issued in LA
Legal business name
FABIAN LUGO MD, A PROFESSIONAL MEDICAL CORPORATION
Practice address
913 S College Rd
Suite 107
Lafayette, LA 70503-3060
Phone
(337) 989-9971
Fax
(337) 989-9986
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fabian Lugo, M.D.,
Title
Physician
Phone
(337) 989-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 020740 LA Primary

Addresses

Primary practice location

913 S College Rd
Suite 107
Lafayette, LA 70503-3060

Mailing address

PO Box 52465
Lafayette, LA 70505-2465
Phone (337) 989-9971

National Provider Directory

National Provider Directory

Locations

1101 S College Rd
Ste 307
Lafayette, LA 70503
Phone (337) 237-5225

913 S College Rd
Ste 107
Lafayette, LA 70503
Phone (337) 234-5344

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1013209303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52465",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052465",
            "telephone_number": "337-989-9971",
            "fax_number": "337-989-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 107",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-989-9971",
            "fax_number": "337-989-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIAN LUGO MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-989-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "020740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.