Individual
MS. MICHELLE RENEE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4550 EUBANK BLVD NE STE D205, ALBUQUERQUE, NM 87111-3479
(505) 234-6432
(505) 234-6432
Mailing address
4550 EUBANK BLVD NE STE D205, ALBUQUERQUE, NM 87111-3479
(505) 234-6432
(505) 234-6432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2000PA27
NM
363A00000X
Physician Assistant
PA-2326
ID
Other
Enumeration date
03/07/2011
Last updated
04/11/2025
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