Paul George Lucero
Specialist/Technologist, Other, Surgical Assistant in Santa Fe, NM. Individual provider (NPI-1).
NPI number1467312272
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1467312272
- Entity type
- Individual (NPI-1)
- Name
- Paul George Lucero
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2025
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 159345 | NM | Yes |
Practice location
1333 Pacheco St Apt MSanta Fe, NM 87505-3967
Phone 505-920-7344
Mailing address
1333 Pacheco St Apt MSanta Fe, NM 87505-3967
Phone 505-920-7344
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