Individual
DR. DAVINA M LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 ROUTE 4, SUITE 203, HAGATNA, GU 96910-7110
(671) 475-6500
Mailing address
250 ROUTE 4, SUITE 203, HAGATNA, GU 96910-7110
(671) 475-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-1053
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H104727
MEDICARE PTAN
GU
01
—
M-1053
MEDICAL LICENSE
GU
Enumeration date
06/16/2006
Last updated
04/08/2020
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