Provider Demographics
NPI:1184510133
Name:LUJAN, KAREN ANN (CSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:LUJAN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 C 5TH ST, PO BOX 807
Mailing Address - Street 2:
Mailing Address - City:ESTANCIA
Mailing Address - State:NM
Mailing Address - Zip Code:87016
Mailing Address - Country:US
Mailing Address - Phone:505-384-2777
Mailing Address - Fax:505-443-8387
Practice Address - Street 1:903 C 5TH ST, PO BOX 807
Practice Address - Street 2:
Practice Address - City:ESTANCIA
Practice Address - State:NM
Practice Address - Zip Code:87016
Practice Address - Country:US
Practice Address - Phone:505-384-2777
Practice Address - Fax:505-443-8387
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator