Lucero, Shane
Lucero, Shane is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Lucero, Shane can be contacted via phone (203) 957-5711.Contact Information
Primary practice address
950 Campbell Ave
West Haven CT 06516-2770
Phone: (203) 957-5711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 8241 | Connecticut |
Profile Details
NPI number | 1811542137 |
---|---|
LBN Legal business name | Lucero, Shane |
Credentials | DNP, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2019 |
Last updated | Aug 8th, 2019 - about 5 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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