Individual
ANTHONY LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11262 CAMPUS ST, LOMA LINDA, CA 92350-1727
(909) 558-1000
Mailing address
11262 CAMPUS ST, LOMA LINDA, CA 92350-1727
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022856
CA
Other
Enumeration date
01/25/2021
Last updated
02/16/2023
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