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NPI Code Detail

MEDICARE: MONIQUE LUJAN

MEDICARE: MONIQUE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1528412574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE LUJAN
Provider Business Mailing Address
First Line : 301 PERKINS DR STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3248
Country : US
Telephone Number : 575-652-3155
Fax Number : 575-652-4104
Provider Business Practice Location Address
First Line : 3621 MARION LN
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7579
Country : US
Telephone Number : 575-520-6074
Fax Number : 505-929-6074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2016
Last Update Date : 10/27/2022

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Directions to “ MONIQUE LUJAN ” Practice Location

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