IndividualActive

Ricardo Lugo, DDS, MD

NPI 1588078224 · Oral & Maxillofacial Surgery (D.M.D.) · Shreveport, LA

Provider details

NPI number: 1588078224
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: DDS, MD
Sex: Male
Sole proprietor: No
License: S-991 (LA)

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense 311638 (LA)
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense S-991 (LA)
Dental Providers
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 63027 (CA)
Dental Providers
Oral & Maxillofacial Surgery (D.M.D.)204E00000XLicense A158305 (CA)
Allopathic & Osteopathic Physicians

1501 Kings Hwy Rm 530

Shreveport, LA 71103-4228

Phone: (318) 675-6036

Fax: (318) 675-6129

Approximate (ZIP-level) locationGet directions

1501 Kings Hwy Rm 530

Shreveport, LA 71103-4228

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.