Provider Demographics
NPI:1801841317
Name:LUJAN, EUGENIO ALPHONSO (CRNA)
Entity Type:Individual
Prefix:MR
First Name:EUGENIO
Middle Name:ALPHONSO
Last Name:LUJAN
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:934 CAMINO DE LA REINA
Mailing Address - Street 2:#73
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3240
Mailing Address - Country:US
Mailing Address - Phone:619-688-3079
Mailing Address - Fax:619-688-3079
Practice Address - Street 1:200 WEST ARBOR DR
Practice Address - Street 2:UCSD MEDICAL CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8201
Practice Address - Country:US
Practice Address - Phone:619-543-6040
Practice Address - Fax:619-543-3183
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CACRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered