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Individual

MOISES LUCERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
465 CLARK ST, EUGENE, OR 97401-2219
(541) 255-8003
Mailing address
465 CLARK ST, EUGENE, OR 97401-2219
(541) 255-8003

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200541661RN
OR

Other

Enumeration date
11/05/2025
Last updated
11/07/2025
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