Individual
JENNIFER A LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3630 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121-5504
(505) 462-7777
Mailing address
1191 FESTIVAL RD NW, LOS LUNAS, NM 87031-8578
(505) 974-1611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
82822
NM
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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