Amanda Lucario

NPI #1558817270 in Acoma, New Mexico

Provider Information

NPI Number: 1558817270
Entity Type: Individual
Name: Amanda Lucario
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 1253 HAAKU ROAD
City: Acoma
State: New Mexico
ZIP Code: 87034
Phone: (505) 389-3590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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