Provider Demographics
NPI:1447499371
Name:LUGURI, LETA BYRNE
Entity type:Individual
Prefix:MS
First Name:LETA
Middle Name:BYRNE
Last Name:LUGURI
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 1:11 OLIVETTI PL
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2606
Mailing Address - Country:US
Mailing Address - Phone:518-569-7433
Mailing Address - Fax:
Practice Address - Street 1:6 TARA LN
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-7224
Practice Address - Country:US
Practice Address - Phone:518-563-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor