Individual provider · Type 1 NPI

Mackenzie Lucero

Student in an Organized Health Care Education/Training Program · Colton, CA

NPI number 1053161802 Active

Practice location

400 N Pepper Ave Ste 206
Colton, CA 92324-1801

Call (909) 580-2159 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053161802

Mackenzie Lucero's National Provider Identifier is 1053161802, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colton, CA. The record was last updated on Mar 25, 2024.