Search › Idaho › 1041C0700X
Juan Lucero, LCSW-38062
NPI 1821463704 · on the registry since 2015 · sole proprietor
Practice
- Address
- 412 W Center St Ste 300
Pocatello, ID 83204 - Phone
- (208) 406-9323
- Organisation at this address
- Veteran Home Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho