Individual
MICHAEL LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
(623) 907-0746
Mailing address
4603 N 50TH DR, PHOENIX, AZ 85031-1326
(602) 300-3941
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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