Individual
ELAINE M LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2620 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-2802
(505) 884-0455
(505) 872-1842
Mailing address
1501 ALFREDO GARCIA CT NW, ALBUQUERQUE, NM 87107-7109
(505) 344-7999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4390
NM
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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