Lucero, Erika Jean

Lucero, Erika Jean is an individual health care provider with primary practice located at 620 N Coronado Ave , Espanola NM 87532-2726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lucero, Erika Jean can be contacted via phone (505) 753-7218.

Contact Information

Primary practice address
620 N Coronado Ave Espanola NM 87532-2726
Phone: (505) 753-7218
Fax: (505) 753-5815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2008-0039 New Mexico

Profile Details

NPI number 1992952592
LBN Legal business name Lucero, Erika Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Apr 26th, 2013 - about 11 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 1992952592 NPPES
New Mexico MEDICAID 50726269

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