Individual
MICHELLE LEE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8372
(772) 672-8374
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8372
(772) 672-8374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5180341
FL
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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