LUCERO COSGROVE

Community Health Worker

Active Individual
NPI: 1093165961

Practice Address

2180 JOHNSON AVE
San Luis Obispo, CA 93401

Phone: (805) 781-4275

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1093165961 is the National Provider Identifier for LUCERO COSGROVE, a Community Health Worker provider located in San Luis Obispo, CA. This NPI was enumerated on June 21, 2016.
LUCERO COSGROVE practices at 2180 JOHNSON AVE, San Luis Obispo, CA 93401.

Quick Facts

NPI
1093165961
Type
Individual
Enumerated
Jun 21, 2016
Last Updated
Jun 21, 2016

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