Lucero, Roberta Albina
Lucero, Roberta Albina is an individual health care provider with primary practice located at 624 University Ave Ste 100, Las Vegas NM 87701-4252. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lucero, Roberta Albina can be contacted via phone (505) 454-1078.Contact Information
Primary practice address
624 University Ave Ste 100
Las Vegas NM 87701-4252
Phone: (505) 454-1078
Fax: (505) 454-1164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3441 | New Mexico |
Profile Details
| NPI number | 1043407778 |
|---|---|
| LBN Legal business name | Lucero, Roberta Albina |
| Credentials | MPT ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Oct 25th, 2017 - 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 | 1043407778 | NPPES |
| New Mexico | MEDICAID | 81308264 |
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