Active NPI
Liana M. Lugo, M.D.
- Plastic and Reconstructive Surgery Physician
- Saint Cloud, MN
National Provider Identifier
1093954877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 58397
- Practice address
- 3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2255 - Phone
- (320) 253-7257
- NPI assigned
- Feb 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 58397 | MN | Primary |
Addresses
Primary practice location
3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2255
Mailing address
3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2255
Phone (320) 253-7257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107681 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan County Georgia Hospital Authority | Current | Accepting new patients | |
| Three Rivers Pathology PA | Past | Accepting new patients | |
| Georgia Center for Aesthetic Plastic Surgery LLC | Past | Accepting new patients |
Interoperability endpoints
- lianalugo@mmc.medalliesdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Watkinsville, GA
- NPI 1578211520
-
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
-
- Anatomic Pathology Physician
- Roseville, MN
- NPI 1003878661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1093954877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 12TH ST N",
"address_2": "SUITE 100",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032255",
"telephone_number": "320-253-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 12TH ST N",
"address_2": "SUITE 100",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032255",
"telephone_number": "320-253-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "LIANA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-18",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MN",
"license": "58397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.