Doctor Name: | LEEANN Y LUCERO |
NPI Number: | 1396872362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 125503 |
Business Practice Address: | 2500 S Havana St Aurora, CO - 800141618 |
Business Phone Number: | 3033383333 |
Business Fax Number: | |
Mailing Address: | 3409 S Uravan Way Apt 309, AURORA |
State: | CO |
Postal Code: | 800134492 |
Phone Number: | 3035796698 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 10/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 125503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |