Provider Demographics
NPI:1437848272
Name:LUCERO, ARIANA NICOLE (WELLNESS COACH)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:NICOLE
Last Name:LUCERO
Suffix:
Gender:F
Credentials:WELLNESS COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 S WOLCOTT CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-2271
Mailing Address - Country:US
Mailing Address - Phone:720-927-0833
Mailing Address - Fax:
Practice Address - Street 1:762 S WOLCOTT CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-2271
Practice Address - Country:US
Practice Address - Phone:720-927-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5237-A175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty