Lucero, Leonard
Lucero, Leonard is an sole proprietor health care provider with primary practice located at 700 Friedman Ave , Las Vegas NM 87701-4231. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Lucero, Leonard can be contacted via phone (505) 454-5100.Contact Information
Primary practice address
700 Friedman Ave
Las Vegas NM 87701-4231
Phone: (505) 454-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1952877474 |
|---|---|
| LBN Legal business name | Lucero, Leonard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2018 |
| Last updated | Oct 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952877474 | NPPES |
| New Mexico | MEDICAID | 96-296 |
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