Individual
JULIE NEWMANN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA00607
OR
363AM0700X
Medical Physician Assistant
Primary
PA00607
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000637855
—
OR
Enumeration date
02/14/2007
Last updated
02/21/2025
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