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17D1012555 CLIA NUMBER - MARIANA E LUCERO, MD

Laboratory Demographics

CLIA Number: 17D1012555

Facility Name: MARIANA E LUCERO, MD

Facility Address:
2132 NORTH KANSAS AVE SUITE B
LIBERAL, KS
ZIP 67901
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Facility Phone Number: 620 624-7400

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1831168673

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 17D1012555
LAB Type Practitioner Other
Facility Name MARIANA E LUCERO, MD
Street 2132 NORTH KANSAS AVE SUITE B
City LIBERAL
State KS
ZIP 67901
Phone 620 624-7400
CertificateType 4
CertificateEffectiveDate 5/13/2023
CertificateExpirationDate 5/12/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024