Individual
CHRIS KEVIN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 216-2727
(505) 365-1006
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
(505) 216-2727
(505) 365-1006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
01/11/2021
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