Antonia Lujan, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0130781 Issued in NM

Practice address

612 N Paseo de Onate
Espanola, NM 87532-2963

Phone

(505) 753-2203

NPI assigned

Oct 28, 2011

Last updated

Oct 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1730465287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1656",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875711656",
            "telephone_number": "505-779-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322963",
            "telephone_number": "505-753-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "ANTONIA",
        "credential": "LSAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0130781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laetitia Marie Lucero
• Piedad P Lucero, ADMIN
• Tammy R Lucero, LSAA
• Vanessa Monique Lucero, PHARMD
• Yajaira Berenice Lujan-Madrid, LSAA
• Carmen Lujan
• Suzanne Lujan
• Leticia A Luketich Martinez, CNP
• Lisa Luttbeg, MA
• Luz de Vida LLC

• Addiction (Substance Use Disorder) Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.