Provider Demographics
NPI:1669723177
Name:LUGO, NINFA
Entity type:Individual
Prefix:
First Name:NINFA
Middle Name:
Last Name:LUGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8300
Mailing Address - Country:US
Mailing Address - Phone:559-730-7300
Mailing Address - Fax:
Practice Address - Street 1:32747 ROAD 138
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-9381
Practice Address - Country:US
Practice Address - Phone:559-730-7766
Practice Address - Fax:559-730-7766
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician