Provider Demographics
NPI:1558932210
Name:LUCERO, MELISSA EILEEN (CCSS)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:EILEEN
Last Name:LUCERO
Suffix:
Gender:F
Credentials:CCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 DON PASQUAL RD NW
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-8493
Mailing Address - Country:US
Mailing Address - Phone:505-595-5456
Mailing Address - Fax:505-865-4134
Practice Address - Street 1:735 DON PASQUAL RD NW
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-8493
Practice Address - Country:US
Practice Address - Phone:505-865-2249
Practice Address - Fax:505-865-4134
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator