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CARLOS E LUCERO NPI 1649304395


NPI Information

NPI: 1649304395
Provider Name: CARLOS E LUCERO

Doing Business As: BECKLEY NEONATAL-PEDIATRIC CARE

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
403 CARRIAGE DR
BECKLEY, WV
ZIP 25801
Phone: (304) 255-7456
Get Directions

CARLOS E LUCERO is an adolescent medicine pediatrics in Beckley, WV. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CARLOS E LUCERO NPI is 1649304395. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beckley Neonatal-pediatric Care.

The provider's business location address is:

403 CARRIAGE DR
BECKLEY, WV
ZIP 25801-805
Phone: (304) 255-7456
Fax: (304) 255-5899

The provider's authorized official is Carlos Estanislao Lucero .
The authorized official title is Owner and has the following contact phone number (304) 255-7456.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine10355WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810002253OTHERWEST VIRGINIAMEDICAID GROUP
23810002253MEDICAIDWEST VIRGINIA
30112021000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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