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Individual

HENRY LUJAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD LLC

Contact information

Practice address
9195 SUNSET DR, SUITE 230, MIAMI, FL 33173-3452
(786) 279-6960
(305) 279-1994
Mailing address
1500 NW 12TH AVE, SUITE 810, MIAMI, FL 33136-1051
(305) 585-6649

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME 70394
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME0070394
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252543700
FL
Enumeration date
04/24/2006
Last updated
10/08/2014
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