Lujan, Audrey

Lujan, Audrey is an individual health care provider with primary practice located at 1090 Goat Springs Road , Taos NM 87571. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Lujan, Audrey can be contacted via phone (575) 758-6966.

Contact Information

Primary practice address
1090 Goat Springs Road Taos NM 87571
Phone: (575) 758-6966
Fax: (575) 751-5210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R61659 New Mexico

Profile Details

NPI number 1255895090
LBN Legal business name Lujan, Audrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255895090 NPPES
New Mexico MEDICAID K3543

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