Doctor Name: | ANNA MARIE LUCERO |
NPI Number: | 1275594574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 537539 |
Business Practice Address: | 950 Anthony St Canutillo, TX - 798356052 |
Business Phone Number: | 9158774217 |
Business Fax Number: | 9158774231 |
Mailing Address: | 7250 Ninth St, CANUTILLO |
State: | TX |
Postal Code: | 798356011 |
Phone Number: | 9158774217 |
Fax Number: | 9158774231 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 537539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |