Lateah M Lucero, OT is a
Occupational Therapist based in Krum, Texas. Lateah M Lucero is licensed to practice in Texas (license number 120133) and her current practice location is
1231 Dakota Trl, Krum, Texas. She can be reached at her office (for appointments etc.) via phone at
(940) 367-7060.
NPI number for Lateah M Lucero is 1114578655 and her current mailing address is 1231 Dakota Trl, Krum, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114578655.
Healthcare Provider's Profile
| Full Name | Lateah M Lucero |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1231 Dakota Trl, Krum, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114578655
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 09/26/2019
Medical Identifiers
Medical identifiers for Lateah M Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114578655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 120133 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lateah M Lucero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lateah M Lucero, OT
1231 Dakota Trl,
Krum, TX 76249-6876
Ph: (940) 312-3991 | Lateah M Lucero, OT
1231 Dakota Trl,
Krum, TX 76249-6876
Ph: (940) 367-7060 |
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