Carlos Estanislao Lucero
MD | Developmental - Behavioral Pediatrics | Male
Carlos Estanislao Lucero, MD is a Beckley, West Virginia based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics. Carlos Estanislao Lucero is also known as
Beckley Neonatal Pediatric Care.
Current practice location of Carlos Estanislao Lucero is
403 Carriage Drive, Beckley, West Virginia - 25801. He can be contacted on phone at
304-255-7456 and fax number 304-255-5899.
Carlos Estanislao Lucero is a sole proprietor of his business.
NPI number (Unique professional ID) for Carlos Estanislao Lucero is
1033164645 which was assigned by NPPES on 23 May, 2006 and it was last updated on 07 Jul, 2008.
Carlos Estanislao Lucero license number is
10355 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in West Virginia.
Carlos Estanislao Lucero is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Carlos Estanislao Lucero basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
|---|
| Provider Name : | Carlos Estanislao Lucero |
|---|
| Other Name : | Beckley Neonatal Pediatric Care |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Carlos Estanislao 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 Drive
Beckley, WV, 25801
United States |
|---|
| Phone Number : | 304-255-7456 |
|---|
| Fax Number : | 304-255-5899 |
|---|
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 : | 1033164645 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 23 May, 2006 |
|---|
| Last Updated On : | 07 Jul, 2008 |
|---|
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 Estanislao Lucero are as mentioned. Primary taxonomy code for Carlos Estanislao Lucero, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 10355 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Carlos Estanislao Lucero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0112021000 | MEDICAID | WV | |
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, 25801-2805
United States |
|---|
| Phone Number : | 304-255-7456 |
|---|
| Fax Number : | 304-255-5899 |
|---|
Business Location:
Patients can refer following map for directions to
Carlos Estanislao 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. Last updated on 08 January, 2024.