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NPI Code Detail

MEDICARE: PATRICIA LYNN LUJAN

MEDICARE: PATRICIA LYNN 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
1101YA0400XAddiction (Substance Use Disorder) CounselorCO

General Provider Information

NPI Number : 1417544107
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LYNN LUJAN
Provider Business Mailing Address
First Line : 5 S 1ST AVE
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-1603
Country : US
Telephone Number : 720-909-6008
Fax Number : 720-909-6011
Provider Business Practice Location Address
First Line : 5 S 1ST AVE
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-1603
Country : US
Telephone Number : 720-909-6008
Fax Number : 720-909-6011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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Directions to “ PATRICIA LYNN LUJAN ” Practice Location

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