Individual
LORENA LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 PALM DR, HERMOSA BEACH, CA 90254-3729
(360) 688-9908
Mailing address
1026 PALM DR, HERMOSA BEACH, CA 90254-3729
(360) 561-7075
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
RDH32422
CA
125K00000X
Advanced Practice Dental Therapist
Primary
HAP829
CA
Other
Enumeration date
12/04/2018
Last updated
04/26/2021
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