Provider Demographics
NPI:1508256611
Name:LUJAN, CHRISTINA M (DC, CCSP, AT, CKTI)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:LUJAN
Suffix:
Gender:F
Credentials:DC, CCSP, AT, CKTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 OSUNA RD NE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1384
Mailing Address - Country:US
Mailing Address - Phone:505-508-2369
Mailing Address - Fax:
Practice Address - Street 1:701 OSUNA RD NE STE 600
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-0009
Practice Address - Country:US
Practice Address - Phone:505-508-2369
Practice Address - Fax:505-508-2523
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDC2088111N00000X
NM5737111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor