Provider Demographics
NPI:1740549195
Name:LUJAN, LEAH CATHERINE (FNP-BC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:CATHERINE
Last Name:LUJAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 MINTWOOD PL NW
Mailing Address - Street 2:APT. 201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1939
Mailing Address - Country:US
Mailing Address - Phone:202-731-6420
Mailing Address - Fax:
Practice Address - Street 1:2831 15TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4607
Practice Address - Country:US
Practice Address - Phone:202-462-4788
Practice Address - Fax:202-332-0085
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1006562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner