Individual
JERRID LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7525 E BROADWAY RD, MESA, AZ 85208-2002
(480) 981-2700
Mailing address
4247 E BETSY LN, GILBERT, AZ 85296-9626
(330) 501-1154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP340098
AZ
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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