Individual
LAUREN SUZANNE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
(804) 504-8100
Mailing address
10286 STAPLES MILL RD # 179, GLEN ALLEN, VA 23060-3064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184887
VA
Other
Enumeration date
08/19/2022
Last updated
08/23/2022
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