Lujan, J. Enrique

Lujan, J. Enrique is an sole proprietor health care provider with primary practice located at 160 E Redstone Ave , Crestview FL 32539-5348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lujan, J. Enrique can be contacted via phone (850) 689-0555.

Contact Information

Primary practice address
160 E Redstone Ave Crestview FL 32539-5348
Phone: (850) 689-0555
Fax: (850) 689-3531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54171 Florida

Profile Details

NPI number 1083748719
LBN Legal business name Lujan, J. Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083748719 NPPES
Florida Other 07962 BC BS PROVIDER NO.

Popular Providers