Individual
MS. LIZA ANN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02216
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37977253
—
NM
Enumeration date
07/20/2013
Last updated
09/11/2018
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