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Contact Information

LUCAS A BRACERO, MD, MBA
400 COURT ST STE 100
CHARLESTON, WV25301-1652
 Phone: 304-347-6120
 Fax: 304-347-6120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for LUCAS A BRACERO · (Male)

NPI Number 1699270991
Status Active
Credentials MD, MBA
Entity Individual
Enumeration date 03/28/2018
Last updated 02/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 32685
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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