Individual
DR. VIRGINIA M LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
(360) 426-5755
(360) 426-5755
Mailing address
1115 N TACOMA AVE, TACOMA, WA 98403-2930
(253) 228-4429
(253) 228-4429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5022769
—
WA
Enumeration date
08/24/2006
Last updated
07/08/2007
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