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Nicole Johanna Lucero
Student in an Organized Health Care Education/Training Program in Patchogue, New York
NPI 1568010791

Nicole Johanna Lucero is a Student in an Organized Health Care Education/Training Program based in Patchogue, NY. Nicole Johanna Lucero practices in Patchogue, NY. The NPI Number for Nicole Johanna Lucero is 1568010791 and holds a License No. (New York).

The current practice location address for Nicole Johanna Lucero is 292 Oak St, Patchogue, NY and can be reached out via phone at 631-578-5079.

Location: 292 Oak St, Patchogue, NY, 11772-2919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568010791
Provider Name
Nicole Johanna Lucero
Credential
Provider Entity Type
Individual
Gender
Female
Address
292 Oak St, Patchogue, NY, 11772-2919
Phone Number
631-578-5079
Fax Number
Provider Enumeration Date
08/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
292 Oak St
City
Patchogue
State
New York
Zip
11772-2919
Phone Number
631-578-5079
Fax Number
person
Provider Business Mailing Address Details
Address
292 Oak St
City
Patchogue
State
New York
Zip
11772-2919
Phone Number
631-578-5079
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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