Larah Lucero, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106934 Issued in FL

Practice address

10931 Dylan Loren Cir
Suite a
Orlando, FL 32825-4449

Phone

(407) 218-4444

Fax

(321) 284-1514

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Neuro Care LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1912188970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1962755611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY LN",
            "address_2": "APT 1508",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 DYLAN LOREN CIR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254449",
            "telephone_number": "407-218-4444",
            "fax_number": "321-284-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "LARAH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Enrique Lucena Colmenarez
• Neyshaliz Lucena Martinez
• Paola Lucena-Pachano
• Matthew Lucena, PT
• Lisvet Luceno, MD
• Lissette Luces Tenia
• Jaclyn Lucey, SLP
• Andrew Luchner, PSYD
• Evelyn Magdalen Luciano, RN,MA, NCC, LMHC
• Lisa Michelle Luciano

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.