Donovan Lucero
NPI #1467094029 in Laguna, New Mexico
Provider Information
- NPI Number
- 1467094029
- Entity Type
- Individual
- Name
- Donovan Lucero
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Oct 15, 2019
- Last Updated
- Oct 15, 2019
Practice Location
- Address
- 7 RIO SAN JOSE DR
- City
- Laguna
- State
- New Mexico
- ZIP Code
- 87026
- Phone
- (505) 552-6513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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