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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

NPI # 1649304395
LBN Legal business name CARLOS E LUCERO
Authorized official CARLOS LUCERO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 08/12/2008 - About 18 years ago
Identifiers
WV License # 10355
WV Medicaid 0112021000
WV Medicaid 3810002253
WV Other 3810002253 MEDICAID GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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