Individual
DR. STEVEN LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MBA
Contact information
Practice address
93 S 1250 E, LOGAN, UT 84321-6770
(307) 631-0148
Mailing address
93 S 1250 E, LOGAN, UT 84321-6770
(307) 631-0148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8728523-2501
UT
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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