Doctor Name: | MRS. DIANE EVA LUCERO |
NPI Number: | 1134144108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN PNNP RDMS |
License Number: | 59431 |
Business Practice Address: | 10103 Ridgegate Pkwy Suite 212 Lone Tree, CO - 801245520 |
Business Phone Number: | 3037925585 |
Business Fax Number: | |
Mailing Address: | 10103 Ridgegate Pkwy Ste 212, LONE TREE |
State: | CO |
Postal Code: | 801245525 |
Phone Number: | 3037925585 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP1700X |
License Number: | 59431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Perinatal |
Taxonomy Definition: |