JEREMY LUCERO NPI 1720660293

NPI Information

NPI: 1720660293
Provider Name: JEREMY LUCERO
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12347 CLAREDON DR UNIT 1
RANCHO CUCAMONGA, CA
ZIP 91739
Phone: (909) 912-2033
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Jeremy Lucero is a family nurse practitioner in Rancho Cucamonga, CA. Jeremy Lucero NPI is 1720660293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12347 CLAREDON DR UNIT 1
RANCHO CUCAMONGA, CA
ZIP 91739-068
Phone: (909) 912-2033

The NPI 1720660293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2021 and was last updated on 4/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95017196	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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