Individual
CHRISTIANNE J LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4253
Mailing address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51217
CA
363A00000X
Physician Assistant
Primary
6369
AZ
Other
Enumeration date
10/23/2013
Last updated
12/15/2021
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