Provider Information for 1568610178
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
VICKIE SHANE LUCERO LPC, LAC
Sex: Female
NPI: 1568610178
Last Updated: 2022-12-02
Certification Date: 2022-12-02
Certification Date: 2022-12-02
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568610178 | ||||||||||||||||
| Enumeration Date | 2008-09-08 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2130 STOUT ST DENVER, CO 80205-2827 United States Phone: 032-932-2203 | Fax: | ||||||||||||||||
| Primary Practice Address | 2130 STOUT ST DENVER, CO 80205-2827 United States Phone: 303-293-2220 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 30999 COUNTY ROAD 15 BLDG 5 | ||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|