Provider Demographics
NPI:1528308707
Name:ARANDA, LUCERO ALEJANDRA (SA-C)
Entity type:Individual
Prefix:
First Name:LUCERO
Middle Name:ALEJANDRA
Last Name:ARANDA
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:LUCERO
Other - Middle Name:ALEJANDRA
Other - Last Name:MARTINEZ-DELGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SA-C
Mailing Address - Street 1:12424 STEEPLE WAY BLVD
Mailing Address - Street 2:APT 721
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4783
Mailing Address - Country:US
Mailing Address - Phone:832-340-1900
Mailing Address - Fax:
Practice Address - Street 1:12424 STEEPLE WAY BLVD
Practice Address - Street 2:APT 721
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4783
Practice Address - Country:US
Practice Address - Phone:832-340-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13-106246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant