Individual
ANNA MARIE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
950 ANTHONY ST, CANUTILLO, TX 79835-6052
(915) 877-4217
(915) 877-4231
Mailing address
7250 NINTH ST, CANUTILLO, TX 79835-6011
(915) 877-4217
(915) 877-4231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
537539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121401704
—
TX
05
—
121401705
—
TX
01
—
NP7151
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/28/2006
Last updated
03/19/2008
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