LORETTA LUCERO (NPI# 1053417378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053417378 |
| Entity Type | Individual |
| Full Name | LORETTA LUCERO |
| Credential | RNFAC |
| Practice Address |
2300 E 30th St Bldg D Ste 101 Farmington NM 87401-8990 |
| Practice Telephone | 5053271400 |
| Practice Fax Number | 5055643202 |
| Mailing Telephone | 5053271400 |
| Mailing Fax Number | 5055643202 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
R30705 | NM | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS | 00NM006488 | 01 |
| NM | LOVELACE | 10009130 | 01 |
| CHAMPUS | 850232271001 | 01 | |
| US DEPT OF LABOR | 187729600 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366920563 | Loretta Pauline Lucero | Case Manager/Care Coordinator | 250 Grand Cypress Ave, Palmdale, CA 93551-3675 | 2018-07-31 |
| Street Address |
2300 E 30TH ST BLDG D STE 101 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567905 | Robert C Lehmer | Orthopaedic Surgery | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2005-06-13 |
| 1245423110 | Tara A Gomez | Registered Nurse | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2007-08-23 |
| 1265625131 | Liann Montoya | Registered Nurse | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2007-08-23 |
| 1639189574 | Robert C Stemsrud | Orthopaedic Surgery | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2006-08-09 |
| 1629029541 | Lawrence O Ward | Podiatrist | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518204031 | Georgean L Chapman | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2013-01-04 |
| 1700157336 | Diane W Searle | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2012-01-12 |
| 1841583531 | April Stovall | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2011-05-27 |
| 1194955302 | Rena Nagl | Registered Nurse | 2300 E 30th St Bldg D-101, Farmington, NM 87401-8991 | 2009-07-22 |
| 1245423110 | Tara A Gomez | Registered Nurse | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2007-08-23 |
| 1265625131 | Liann Montoya | Registered Nurse | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2007-08-23 |
| 1982795704 | Ellen E Colyer | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2006-09-27 |
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on LORETTA LUCERO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.