Individual
JUAN M. LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 N SOLANO DR STE 3, LAS CRUCES, NM 88001-2900
(505) 541-1075
Mailing address
301 N SOLANO DR STE 3, LAS CRUCES, NM 88001-2900
(505) 541-1075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
313
NM
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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