Lucero, Roxanna Jacqueline

Lucero, Roxanna Jacqueline is an individual health care provider with primary practice located at 6662 Yucca Ave , Rialto CA 92376-2631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lucero, Roxanna Jacqueline can be contacted via phone (909) 877-3746.

Contact Information

Primary practice address
6662 Yucca Ave Rialto CA 92376-2631
Phone: (909) 877-3746
Fax: (909) 820-6465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15277 California

Profile Details

NPI number 1194833525
LBN Legal business name Lucero, Roxanna Jacqueline
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194833525 NPPES
California Other 15277 CA BOARD OF REG. NURSING
California Other 2004003487-22 CA BOARD OF REG. NURSING

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