Individual
MS. ERIKA JEAN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 N CORONADO AVE, ESPANOLA, NM 87532-2726
(505) 753-7218
(505) 753-5815
Mailing address
620 N CORONADO AVE, ESPANOLA, NM 87532-2726
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2008-0039
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50726269
—
NM
Enumeration date
08/26/2008
Last updated
04/26/2013
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