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Individual

LORETTA LUCERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNFAC

Contact information

Practice address
2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
R30705
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM006488
BCBS
NM
01
10009130
LOVELACE
NM
01
187729600
US DEPT OF LABOR
01
850232271001
CHAMPUS
Enumeration date
09/15/2006
Last updated
05/06/2008
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