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Carlos E Lucero
Pediatric Adolescent Medicine Physician in Beckley, West Virginia
NPI 1649304395

Carlos E Lucero is a Pediatric Adolescent Medicine Physician based in Beckley, WV and is specialized in Adolescent Medicine. Carlos E Lucero practices in Beckley, WV. The NPI Number for Carlos E Lucero is 1649304395 and holds a License No. 10355 (West Virginia).

The current practice location address for Carlos E Lucero is 403 Carriage Dr, Beckley, WV and can be reached out via phone at 304-255-7456 and via fax at 304-255-5899.

Location: 403 Carriage Dr, Beckley, WV, 25801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649304395
Provider Name
Carlos E Lucero
Credential
Provider Entity Type
Organization
Address
403 Carriage Dr, Beckley, WV, 25801
Phone Number
304-255-7456
Fax Number
304-255-5899
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0112021000 05 WV
3810002253 01 WV MEDICAID GROUP
3810002253 05 WV
institution
Provider Business Practice Location Address Details
Address
403 Carriage Dr
City
Beckley
State
West Virginia
Zip
25801-2805
Phone Number
304-255-7456
Fax Number
304-255-5899
person
Provider Business Mailing Address Details
Address
403 Carriage Dr
City
Beckley
State
West Virginia
Zip
25801-2805
Phone Number
304-255-7456
Fax Number
304-255-5899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
10355 (West Virginia)
Definition
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.
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