Dr. Davina M Lujan
Family Doctor
250 Route 4 Suite 203
Hagatna
, Guam 96910-7110
Dr. Davina M Lujan
Family Doctor
250 Route 4 Suite 203
Hagatna
, Guam 96910-7110
(671) 475-6500
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Davina M Lujan
- 250 Route 4 Suite 203
- Hagatna, GU
- Zip : 96910-7110
- Phone : (671) 475-6500
Second Address
- Dr. Davina M Lujan
- 250 Route 4 Suite 203
- Hagatna, GU
- Zip : 96910-7110
- Phone : (671) 475-6500
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Is Dr. Davina M Lujan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | M-1053 | GU |
National Provider Identifier
| NPI | 1003850462 |
|---|---|
| Provider Name | Dr. Davina M Lujan |
| First Address | Hagatna, GU 96910-7110 |
| Second Address | Hagatna, GU 96910-7110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 08/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H104727 | MEDICARE PTAN (01) | GU |
| M-1053 | MEDICAL LICENSE (01) | GU |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.