Provider Demographics
NPI:1437873825
Name:LUJAN, ERIN KATHLEEN (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:LUJAN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:KATHEEN
Other - Last Name:MCBAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1512 N PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-4609
Mailing Address - Country:US
Mailing Address - Phone:909-706-2871
Mailing Address - Fax:
Practice Address - Street 1:1512 N PERSHING AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92405-4609
Practice Address - Country:US
Practice Address - Phone:909-706-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA689176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife