Jerry Lee Lugger, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G2762 Issued in TX

Practice address

461 Westpark Way
Euless, TX 76040-3957

Phone

(817) 540-1755

Fax

(817) 685-7774

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Musgrave Specialized Care, PLLC

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1750008181
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1700814647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 W SOUTHLAKE BLVD",
            "address_2": "STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920314",
            "telephone_number": "817-540-1755",
            "fax_number": "817-685-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-540-1755",
            "fax_number": "817-685-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGGER",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "G2762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0007P724",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorlyn, Inc.
• Love and Care Senior Services, LLC
• Love and Care Services, LLC
• Loving Care Medical Group LLC
• Lucy Ceraldi
• Daniel C Lum, MD
• Leslie Elaine Luttrell
• Luxottica of America Inc
• Mokhtar Maamar-Tayeb, M.D.
• Macarthur Medical Center, PLLC

• Plastic Surgery Physician in Euless, TX
• Providers in Euless, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.