Carlos E Lucero
NPI #1649304395 in Beckley, West Virginia
Provider Information
- NPI Number
- 1649304395
- Entity Type
- Organization
- Organization Name
- Carlos E Lucero
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 403 CARRIAGE DR
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-2805
- Phone
- (304) 255-7456
Authorized Official
- Name
- CARLOS ESTANISLAO LUCERO, MD
- Title
- OWNER
- Phone
- (304) 255-7456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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