Edward Lucero JR., SFIDC
NPI #1275957474 in Lakeside, California
Provider Information
- NPI Number
- 1275957474
- Entity Type
- Individual
- Name
- Edward Lucero JR., SFIDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SFIDC
- Enumeration Date
- Feb 7, 2014
- Last Updated
- Feb 7, 2014
Practice Location
- Address
- 11207 GOLD BAR WAY APT 130
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-1367
- Phone
- (619) 368-8865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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