ERNEST A. LUCERO MD PC NPI 1912189697

NPI Information

NPI: 1912189697
Provider Name: ERNEST A. LUCERO, MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address: 6641 KANIKSU ST STE B
BONNERS FERRY, ID
ZIP 83805
Phone: (208) 267-2086

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NPI Details

ERNEST A. LUCERO, MD PC is a general practice in Bonners Ferry, ID. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ERNEST A. LUCERO, MD PC NPI is 1912189697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6641 KANIKSU ST STE B
BONNERS FERRY, ID
ZIP 83805-532
Phone: (208) 267-2086
Fax: (208) 267-4013

The provider's authorized official is Ernest Anthony Lucero .
The authorized official title is President and has the following contact phone number (208) 267-2086.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		M5577	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E07077	MEDICARE UPIN	IDAHO
2	000010003687	OTHER	IDAHO	BLUE SHIELD OF IDAHO
3	DA558	OTHER		BLUE CROSS OF IDAHO

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: 11/21/2025

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