Individual
PAUL GEORGE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 PACHECO ST APT M, SANTA FE, NM 87505-3967
(505) 920-7344
Mailing address
1333 PACHECO ST APT M, SANTA FE, NM 87505-3967
(505) 920-7344
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
159345
NM
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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