Ernest A. Lucero, MD PC

NPI #1912189697 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1912189697
Entity Type: Organization
Organization Name: Ernest A. Lucero, MD PC
Primary Specialty: General Practice
Enumeration Date: Dec 4, 2007
Last Updated: Dec 4, 2007

Practice Location

Address: 6641 KANIKSU ST STE B
City: Bonners Ferry
State: Idaho
ZIP Code: 83805-7532
Phone: (208) 267-2086

Authorized Official

Name: DR. ERNEST ANTHONY LUCERO, M.D.
Title: PRESIDENT
Phone: (208) 267-2086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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