Individual
LUCIANNA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 N. CENTRO FAMILAR SW, ALBUQUERQUE, NM 87105
(505) 873-7400
Mailing address
2713 CAGUA DR NE, ALBUQUERQUE, NM 87110-3219
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2010-0751
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31938850
—
NM
Enumeration date
04/17/2008
Last updated
05/16/2013
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