| J Enrique Lujan, MD | |
|
160 E Redstone Ave, Crestview, FL 32539-5348 | |
| (850) 689-0555 | |
| (850) 689-3531 |
| Full Name | J Enrique Lujan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 160 E Redstone Ave, Crestview, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083748719 | NPI | - | NPPES |
| 07962 | Other | FL | BC BS PROVIDER NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 54171 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| J Enrique Lujan, MD 160 E Redstone Ave, Crestview, FL 32539-5348 Ph: (850) 689-0555 | J Enrique Lujan, MD 160 E Redstone Ave, Crestview, FL 32539-5348 Ph: (850) 689-0555 |
Dr. Sharon Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
Dr. Heather Lynn Macadam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste C5, Crestview, FL 32536 Phone: 850-682-1164 Fax: 850-682-5302 | |
William Scott Wakefield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 | |
Tamika D Ussery-freeman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Redstone Ave W Ste 390, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 |