NPI 1891968541

Marian T Lucero, DDS

Practitioner Dentist Socorro, NM

Practice location

Address: 824 Highway 60, Socorro, NM 87801-3919
Phone: (575) 835-2342
Fax: (575) 835-2207
Mailing address: 824 Highway 60 PO Box 124, Socorro, NM 87801-3919

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence NM 1552 (NM)

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Registry record

NPI: 1891968541
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2008
Record last updated: 2 Apr 2008

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.