Individual
GABRIELLE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
310 E PARKVIEW ST UNIT A, COTTAGE GROVE, WI 53527-8908
(608) 383-4151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10185
WI
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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