Individual
MRS. NICOLE ANNE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL HEALTH DIABETES DEPT., LAKELAND, FL 33805
(863) 687-1100
(863) 687-1412
Mailing address
15509 STARLING WATER DRIVE, LITHIA, FL 33547
(813) 503-5825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
866014
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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