Individual
JENNIFER LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
(719) 584-0110
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1692818
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.1692818
CO
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/02/2017
Last updated
09/24/2025
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