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Individual

STEVEN LAWRENCE LUCERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MOT

Contact information

Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8388
Mailing address
7116 DONA ESMERA AVE SW, ALBUQUERQUE, NM 87121-3590

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0806
NM

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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