Individual
ALISA SYLVIA LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
2500 MARBLE AVE NE, ALBUQUERQUE, NM 87106
(505) 272-5849
Mailing address
HEALTH SCIENCES CENTER MSC09 5300, 1 UNIVERSITY OF NEW, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-274
NM
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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