Carlos E Lucero
Pediatric Adolescent Medicine
Carlos E Lucero is a Beckley, West Virginia based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Carlos E Lucero is doing business as
Beckley Neonatal-pediatric Care.
It is located at
403 Carriage Dr, Beckley, West Virginia - 25801-2805. They can be contacted on phone at
304-255-7456 and fax number 304-255-5899.
NPI number (Unique professional ID) for Carlos E Lucero is
1649304395 which was assigned by NPPES on 15 Mar, 2007 and it was last updated on 12 Aug, 2008.
Carlos E Lucero license number is
10355 for Pediatrics Adolescent Medicine (2080A0000X) in West Virginia.
Carlos E Lucero 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.
Complete Profile:
Carlos E Lucero basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Carlos E Lucero |
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| Other Name : | Beckley Neonatal-pediatric Care |
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Business Address:
Carlos E Lucero address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 403 Carriage Dr
Beckley, WV, 25801-2805
United States |
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| Phone Number : | 304-255-7456 |
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| Fax Number : | 304-255-5899 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649304395 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Mar, 2007 |
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| Last Updated On : | 12 Aug, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Carlosestanislao Lucero |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 304-255-7456 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carlos E Lucero are as mentioned. Primary taxonomy code for Carlos E Lucero is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 10355 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Carlos E Lucero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3810002253 | MEDICAID | WV | |
| 0112021000 | MEDICAID | WV | |
| 3810002253 | Other | WV | MEDICAID GROUP |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 403 Carriage Dr
Beckley, WV, 25801
United States |
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| Phone Number : | 304-255-7456 |
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| Fax Number : | 304-255-5899 |
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Business Location:
Patients can refer following map for directions to
Carlos E Lucero practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.