Individual
ALEXIS P LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
Mailing address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-2036
NM
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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