Nicole Johanna Lucero

NPI #1568010791 in Patchogue, New York

Provider Information

NPI Number: 1568010791
Entity Type: Individual
Name: Nicole Johanna Lucero
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 30, 2019
Last Updated: Aug 30, 2019

Practice Location

Address: 292 OAK ST
City: Patchogue
State: New York
ZIP Code: 11772-2919
Phone: (631) 578-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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