Individual
KATHLEEN V. LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4000
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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