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Individual
JOEL TIMOTHY LUCERO
Active
Individual
JOEL TIMOTHY LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, AG-ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP11688
AZ
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP11689
AZ
363LF0000X
Family Nurse Practitioner
AP11689
AZ
Other
Enumeration date
08/24/2018
Last updated
01/10/2025
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