MEDICARE: JOANN LUJAN LCSW

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
1	1041C0700X	Clinical Social Worker	2532-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821113432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN LUJAN LCSW

Provider Business Mailing Address
First Line	:	6330 LITTLE CANYON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2011
Country	:	US
Telephone Number	:	702-806-5732
Fax Number	:	702-664-0674

Provider Business Practice Location Address
First Line	:	2441 TECH CENTER CT
Second Line	:	SUITE 116
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0804
Country	:	US
Telephone Number	:	702-806-5732
Fax Number	:	702-664-0674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	06/06/2016

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Directions to “ JOANN LUJAN LCSW” Practice Location

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