Provider Demographics
NPI:1619755170
Name:ARIANA NICOLE LUCERO
Entity type:Organization
Organization Name:ARIANA NICOLE LUCERO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LUCERO
Authorized Official - Suffix:
Authorized Official - Credentials:PEER SPECIALIST
Authorized Official - Phone:303-669-1124
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:303-669-1124
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:303-669-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty