Lucero, Carlos Estanislao

Lucero, Carlos Estanislao is an sole proprietor health care provider with primary practice located at 403 Carriage Drive , Beckley WV 25801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Lucero, Carlos Estanislao can be contacted via phone (304) 255-7456.

Contact Information

Primary practice address
403 Carriage Drive Beckley WV 25801
Phone: (304) 255-7456
Fax: (304) 255-5899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 10355 West Virginia

Profile Details

NPI number 1033164645
LBN Legal business name Lucero, Carlos Estanislao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jul 7th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033164645 NPPES
West Virginia MEDICAID 0112021000

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