Individual
LISA MARIE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
(505) 830-0040
Mailing address
3192 ASHKIRK LOOP SE, RIO RANCHO, NM 87124-3625
(505) 916-4729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
DO NOT HAVE NUMBER
—
Enumeration date
05/28/2019
Last updated
05/28/2019
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