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NPI 1013852979

IndividualActive

Alexis Lucero, CHW

NPI 1013852979 · Community Health Worker · Gallup, NM

Provider details

NPI number: 1013852979
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: CHW
Sex: Female
Sole proprietor: Yes
License: G-2036 (NM)

Practice location

2111 College Dr

Gallup, NM 87301-5600

Phone: (505) 397-5172

More NM providers

Mailing address

2111 College Dr

Gallup, NM 87301-5600

Registry dates

Enumerated: 2026-04-20
Last updated: 2026-04-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexis Lucero, CHW — NPI 1013852979, Gallup, NM | NPI Central