Individual
MRS. ESTEFANIA LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 595-9000
Mailing address
1109 WILL RAND DR, EL PASO, TX 79912-7633
(915) 820-9982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT86533
REGISTERED DIETITIAN TEXAS LICENSE
TX
Enumeration date
02/15/2023
Last updated
02/15/2023
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