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Individual
LYNN LUCERO
Active
Individual
LYNN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
837560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336201490
—
CA
Enumeration date
04/06/2021
Last updated
04/07/2021
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