John Lucero, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Wichita, KS

NPI

1134540974

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

25764 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2013-12-20

Last updated

2013-12-20