Provider Demographics
NPI:1275064669
Name:LUJAN, HEATHER H (RDN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:H
Last Name:LUJAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8461 E 54TH DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3832
Mailing Address - Country:US
Mailing Address - Phone:303-957-8895
Mailing Address - Fax:
Practice Address - Street 1:8461 E 54TH DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3832
Practice Address - Country:US
Practice Address - Phone:303-957-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered