Provider Demographics
NPI:1972111961
Name:LUGLI, VICTORIA LYNNE (LMSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNNE
Last Name:LUGLI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 FAIRFIELD AVE APT 4E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3284
Mailing Address - Country:US
Mailing Address - Phone:646-243-1723
Mailing Address - Fax:
Practice Address - Street 1:3103 FAIRFIELD AVE APT 4E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3284
Practice Address - Country:US
Practice Address - Phone:646-243-1723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor