Individual
STEPHANIE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
48 EL CAMPITO ROAD, LAS VEGAS, NM 87701
(505) 617-0498
Mailing address
48 EL CAMPITO ROAD, LAS VEGAS, NM 87701
(505) 617-0498
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PLN-23149
NM
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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