Healthcare Provider Details

I. General information

NPI: 1336067669
Provider Name (Legal Business Name): LAUREN LUCERO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 DALLAS PKWY STE 100
PLANO TX
75024-0028
US

IV. Provider business mailing address

7333 VALLEY VIEW LN UNIT 706
DALLAS TX
75240-5554
US

V. Phone/Fax

Practice location:
  • Phone: 469-829-2975
  • Fax:
Mailing address:
  • Phone: 469-556-0767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1242100
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: