National Provider Identifier Database

DONOVAN LUCERO
Other Service Providers

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.


Contact Information

DONOVAN LUCERO
7 RIO SAN JOSE DR
LAGUNA, NM87026
Phone: 505-552-6513
Fax:
Website:
Specialty Taxonomy Code
* Other Service Providers 175T00000X

* Indicates primary specialty

NPI Profile & details for DONOVAN LUCERO

NPI Number 1467094029
Credentials
Entity Individual
Enumeration date 10/15/2019
Last updated 10/15/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • NM Medicaid: 125433189
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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