Provider Demographics
NPI:1023269107
Name:LUGER, RICHARD KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KEVIN
Last Name:LUGER
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 1:1760 AF PENTAGON
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20330-0001
Mailing Address - Country:US
Mailing Address - Phone:036-973-2557
Mailing Address - Fax:036-141-6637
Practice Address - Street 1:1760 AF PENTAGON RM 4A870
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20330-1907
Practice Address - Country:US
Practice Address - Phone:036-973-2557
Practice Address - Fax:703-614-1663
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012442622083A0100X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1104000926OtherPREVIOUS NPI NUMBER - NOW DEACTIVATED