Individual
MR. ISAAC LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1141 MALL DR STE E, LAS CRUCES, NM 88011-8194
(575) 288-7068
(575) 522-3151
Mailing address
1141 MALL DRIVE, SUITE E, LAS CRUCES, NM 88011
(575) 522-0660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-72919
NM
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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