Lucero, Braxton

Lucero, Braxton is an individual health care provider with primary practice located at 1 Clara Maass Dr , Belleville NJ 07109-3550. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lucero, Braxton can be contacted via phone (973) 450-2000.

Contact Information

Primary practice address
1 Clara Maass Dr Belleville NJ 07109-3550
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00534400 New Jersey

Profile Details

NPI number 1629633797
LBN Legal business name Lucero, Braxton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2019
Last updated Aug 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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