Nathanael Lucero

NPI #1457192791 in Roanoke, Texas

Provider Information

NPI Number: 1457192791
Entity Type: Individual
Name: Nathanael Lucero
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 3, 2024
Last Updated: Jun 3, 2024

Practice Location

Address: 111 S PINE ST
City: Roanoke
State: Texas
ZIP Code: 76262-6638
Phone: (530) 902-1239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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