Provider Demographics
NPI:1104123751
Name:TUGGLE, LUZIA (NP-C)
Entity type:Individual
Prefix:
First Name:LUZIA
Middle Name:
Last Name:TUGGLE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 CONCRETE RD
Mailing Address - Street 2:STE B
Mailing Address - City:CARLISLE
Mailing Address - State:KY
Mailing Address - Zip Code:40311-9721
Mailing Address - Country:US
Mailing Address - Phone:859-289-2212
Mailing Address - Fax:
Practice Address - Street 1:2300 CONCRETE RD
Practice Address - Street 2:STE B
Practice Address - City:CARLISLE
Practice Address - State:KY
Practice Address - Zip Code:40311-9721
Practice Address - Country:US
Practice Address - Phone:859-289-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYF0111052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily