Individual
DR. STEPHANIE V LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1713 NM 502, SANTA FE, NM 87506-8931
(505) 557-4551
(505) 557-4552
Mailing address
1713 NM 502, SANTA FE, NM 87506-8931
(505) 557-4551
(505) 557-4552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2013-0783
NM
Other
Enumeration date
04/19/2011
Last updated
07/06/2019
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