Provider Demographics
NPI:1851704274
Name:LUJAN, ASHLEY LORRAINE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LORRAINE
Last Name:LUJAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:LORRAINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:7310 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-6011
Mailing Address - Country:US
Mailing Address - Phone:408-763-1492
Mailing Address - Fax:
Practice Address - Street 1:7310 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-6011
Practice Address - Country:US
Practice Address - Phone:408-763-1492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245338164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse