Individual
ADRIAN JACOB LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1712 S COUNTRY CLUB DR STE 101, MESA, AZ 85210-6046
(480) 222-0655
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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