Individual provider · Type 1 NPI

Nicole Johanna Lucero

Student in an Organized Health Care Education/Training Program · Patchogue, NY

NPI number 1568010791 Active

Practice location

292 Oak St
Patchogue, NY 11772-2919

Call (631) 578-5079 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 1568010791

Nicole Johanna Lucero's National Provider Identifier is 1568010791, issued on Aug 30, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Patchogue, NY. The record was last updated on Aug 30, 2019.