| Doctor Name: | MRS. DONNA MAE LUCERO |
| NPI Number: | 1023385119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC |
| License Number: | 1374-08 |
| Business Practice Address: | 388 Ano St Kahului, HI - 967323311 |
| Business Phone Number: | 8088777117 |
| Business Fax Number: | 8887959730 |
| Mailing Address: | Po Box 1820, KAHULUI |
| State: | HI |
| Postal Code: | 967331820 |
| Phone Number: | 8088777117 |
| Fax Number: | 1888795973 |
| NPI Enumeration Date: | 11/17/2011 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1374-08 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |