NPI 1013215003

Jolynne Marie Lucero

Practitioner Peer Specialist Salt Lake City, UT

Practice location

Address: 1020 S Main St, Salt Lake City, UT 84101-3176
Phone: (801) 539-7000
Mailing address: 3725 W 4100 S STE 201, West Valley City, UT 84120-5427

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence F23-108380 (UT)

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Registry record

NPI: 1013215003
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2011
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.