Lujan Hernandez, Jorge R
Lujan Hernandez, Jorge R is an individual health care provider with primary practice located at 725 Albany Street, Fl 3 Ste 3 Shapiro Bldg., Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Lujan Hernandez, Jorge R can be contacted via phone (617) 638-8419.Contact Information
Primary practice address
725 Albany Street, Fl 3 Ste 3 Shapiro Bldg.
Boston MA 02118
Phone: (617) 638-8419
Fax: (617) 414-0201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 279398 | Massachusetts |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 279398 | Massachusetts |
Profile Details
| NPI number | 1124480611 |
|---|---|
| LBN Legal business name | Lujan Hernandez, Jorge R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Jun 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124480611 | NPPES |
| Massachusetts | MEDICAID | 110119188A |
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