Individual
ELIZABETH LUJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
734 LEE DR, LAS VEGAS, NM 87701-4933
(505) 426-7532
Mailing address
734 LEE DR, LAS VEGAS, NM 87701-4933
(505) 426-7532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-2871
NM
1041C0700X
Clinical Social Worker
M-2871
NM
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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