Individual
DOMINIC LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(855) 550-5308
Mailing address
762 SPRING THYME DR, BELLE CHASSE, LA 70037-1651
(504) 818-9571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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