Provider Demographics
NPI:1174648513
Name:LUERO, LU ANNE (OPTICIAN)
Entity type:Individual
Prefix:MRS
First Name:LU
Middle Name:ANNE
Last Name:LUERO
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1745
Mailing Address - Country:US
Mailing Address - Phone:716-297-9115
Mailing Address - Fax:716-297-4270
Practice Address - Street 1:1635 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1745
Practice Address - Country:US
Practice Address - Phone:716-297-9115
Practice Address - Fax:716-297-4270
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC005301-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician