Individual
LATEAH M LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1231 DAKOTA TRL, KRUM, TX 76249-6876
(940) 367-7060
Mailing address
1231 DAKOTA TRL, KRUM, TX 76249-6876
(940) 312-3991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120133
TX
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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