Male or Other

Giovanni M. Lujan MD

Full Name

Giovanni Mario Lujan MD

NPI Number

1366426868

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/30/2005

Specialties

(Taxonomies)

Code

207ZP0102X

Primary Taxonomy

No

Licenses

State

Florida
Georgia
Iowa
Louisiana
Maryland
Oklahoma
South Carolina
Texas
Utah

License Number

ME94351
056336
36050
MD.200176
D59742
24686
27635
L8421
5829457-1205

Contact
Information

Purpose

Mailing
Location

Address

700 ACKERMAN RD STE 2120
410 W 10TH AVE

City

Columbus
Columbus

State

OH
OH

Postal Code

43202-1559
43210-1240

Country

US
US

Telephone Number

(614) 293-5905
(614) 293-5905

Identifiers

Identifier

8M8258
0386979

Identifier State

TX
OH

Identifier Issuer

BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/30/2020

Provider Address