Individual
LEEANN Y LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-3333
Mailing address
3409 S URAVAN WAY APT 309, AURORA, CO 80013-4492
(303) 579-6698
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
125503
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009337
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
10/26/2008
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