Individual
MRS. KATIE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8088 W WHITNEY DR, PEORIA, AZ 85345-6564
(602) 655-2220
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8604
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098056
—
AZ
Enumeration date
09/16/2021
Last updated
01/08/2026
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