ENRIQUE LUJAN NPI 1629102389

NPI Information

  • NPI: 1629102389
  • Provider Name: ENRIQUE LUJAN
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: CHILDRENS CLINIC
  • CLIA Number: 10D0897641
  • Address: 160 E REDSTONE AVE
    CRESTVIEW, FL
    ZIP 32539
  • Phone: (850) 689-0555

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NPI Details

ENRIQUE LUJAN is a pediatrics in Crestview, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ENRIQUE LUJAN NPI is 1629102389. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Clinic.

The provider's business location address is:

160 E REDSTONE AVE
CRESTVIEW, FL
ZIP 32539-348
Phone: (850) 689-0555
Fax: (850) 689-3531

The provider's authorized official is Enrique Lujan .
The authorized official title is Md Owner and has the following contact phone number (850) 689-0555.

The CLIA number assigned to this NPI record is 10D0897641 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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