Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | C005301-1 | NY |
NPI | 1174648513 |
---|---|
Provider Name | Mrs. Lu Anne Luero |
First Address | Niagara Falls, NY 14304-1745 |
Second Address | Niagara Falls, NY 14304-1745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |