Individual
VIRGINIA LOUISE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-0160
(541) 966-9830
(541) 278-7572
Mailing address
PO BOX 160, PENDLETON, OR 97801-0160
(541) 966-9830
(541) 278-7572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096000645RN
OR
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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