Lucero, Deborah Caroline

Lucero, Deborah Caroline is an individual health care provider with primary practice located at 2310 Provenance St , Longmont CO 80504-3706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Lucero, Deborah Caroline can be contacted via phone (970) 402-5272.

Contact Information

Primary practice address
2310 Provenance St Longmont CO 80504-3706
Phone: (970) 402-5272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APN.0995488-NP Colorado

Profile Details

NPI number 1366063224
LBN Legal business name Lucero, Deborah Caroline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2020
Last updated May 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366063224 NPPES
Colorado Other 95-093-2243 DRIVER'S LICENSE

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