Lateah M Lucero, OT

NPI #1114578655 in Krum, Texas

Provider Information

NPI Number: 1114578655
Entity Type: Individual
Name: Lateah M Lucero, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 1231 DAKOTA TRL
City: Krum
State: Texas
ZIP Code: 76249-6876
Phone: (940) 367-7060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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