Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Michelle Renee Lucero, PA-C

Individual provider Physician Assistant · NPI 1194023671

MS. Michelle Renee Lucero, PA-C is a Physician Assistant in Albuquerque, New Mexico. Works from 2 locations. Licensed in Idaho and New Mexico.

Licensed in
ID, NM
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4550 Eubank Blvd NE Ste D205
Albuquerque, NM 87111-3479
Phone: (505) 234-6432
Fax: (505) 234-6432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13500 S Pleasant Valley Rd, Kuna, ID 83634-2709 — (208) 331-2760

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2000PA27 (NM)
Physician Assistant Taxonomy 363A00000X · Licence PA-2326 (ID)

Record details

NPI number1194023671
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2011
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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