Individual
PEYTON LEIGH LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W NASHVILLE ST, PEMBROKE, KY 42266-9763
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126-9084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2024020656
MO
363LF0000X
Family Nurse Practitioner
Primary
4059054
KY
Other
Enumeration date
01/29/2026
Last updated
06/09/2026
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