Individual
MATHEW LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2130 FARMINGTON AVE, FARMINGTON, NM 87401-2123
(505) 325-7172
Mailing address
2130 FARMINGTON AVE, FARMINGTON, NM 87401-2123
(505) 325-7172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0072
NM
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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