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Contact Information

CARLOS E LUCERO
403 CARRIAGE DR
BECKLEY, WV25801-2805
 Phone: 304-255-7456
 Fax: 304-255-5899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARLOS E LUCERO · (Female)

NPI # 1649304395
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2007
Last updated 08/12/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 10355
  • WV Medicaid 0112021000
  • WV Medicaid 3810002253
  • WV Other 3810002253 MEDICAID GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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