Individual
MR. MICHAEL LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12285 PELLICANO DR, EL PASO, TX 79936-6291
(915) 591-3130
Mailing address
805 BROOK ST STE 402, ROCKY HILL, CT 06067-3431
(314) 447-7515
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
10/04/2024
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