Lucero, Samantha

Lucero, Samantha is an individual health care provider with primary practice located at 1689 Brill Way , Bullhead City AZ 86442-6541. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Lucero, Samantha can be contacted via phone (928) 219-7784.

Contact Information

Primary practice address
1689 Brill Way Bullhead City AZ 86442-6541
Phone: (928) 219-7784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1609682301
LBN Legal business name Lucero, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2024
Last updated Dec 6th, 2024 - about 2 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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