Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Lucero

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053161802

Mackenzie Lucero is a Student in an Organized Health Care Education/Training Program in Colton, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

400 N Pepper Ave Ste 206
Colton, CA 92324-1801
Phone: (909) 580-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053161802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address400 N Pepper Ave Ste 206, Colton, CA 92324-1801

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