Provider Demographics
NPI:1730262791
Name:LUGERNER, STANLEY LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:LOUIS
Last Name:LUGERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 K ST NW STE 310
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1015
Mailing Address - Country:US
Mailing Address - Phone:202-429-2401
Mailing Address - Fax:202-429-4341
Practice Address - Street 1:2021 K ST NW STE 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1015
Practice Address - Country:US
Practice Address - Phone:202-429-2401
Practice Address - Fax:202-429-4341
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD12895174400000X
MDD0026354174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101032741OtherVA MEDICAL LICENSE NUMBER
MDD0026354OtherMARYLAND MEDICAL LICENSE
DCMD12895OtherDC MEDICAL LICENSE NUMBER
VA0101032741OtherVA MEDICAL LICENSE NUMBER