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NPI Code Detail

MEDICARE: ANGELICA A LUJAN APRN, NPC

MEDICARE: ANGELICA A LUJAN APRN, NPC
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
1363LF0000XFamily Nurse Practitioner1034651TX

General Provider Information

NPI Number : 1932896073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA A LUJAN APRN, NPC
Provider Business Mailing Address
First Line : 1205 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4023
Country : US
Telephone Number : 915-787-9638
Fax Number : 949-543-2154
Provider Business Practice Location Address
First Line : 2001 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3320
Country : US
Telephone Number : 915-577-6011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2023
Last Update Date : 04/19/2026

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