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NPI Code Detail

MEDICARE: VALENTIN FARRONAI LUJAN

MEDICARE:   VALENTIN  FARRONAI LUJAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1467950907
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENTIN FARRONAI LUJAN
Provider Business Mailing Address
First Line : 6802 BIG PINE KEY ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7630
Country : US
Telephone Number : 561-969-8457
Fax Number :
Provider Business Practice Location Address
First Line : 6802 BIG PINE KEY ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7630
Country : US
Telephone Number : 561-969-8457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 01/30/2018

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Directions to “ VALENTIN FARRONAI LUJAN ” Practice Location

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