Doctor Name: | DONESHA L LUJAN |
NPI Number: | 1548684392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MT0012391 |
Business Practice Address: | 716 2nd St Fort Lupton, CO - 806211803 |
Business Phone Number: | 5052867838 |
Business Fax Number: | 5052868025 |
Mailing Address: | Po Box 896, EDGEWOOD |
State: | NM |
Postal Code: | 870150896 |
Phone Number: | 5052867838 |
Fax Number: | 5052868025 |
NPI Enumeration Date: | 02/14/2014 |
NPI Last Update Date: | 02/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT0012391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |