Individual
DIANNE LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 982-2928
Mailing address
650 E AZURE AVE APT 1035, NORTH LAS VEGAS, NV 89081-6871
(770) 374-5424
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
12/27/2016
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