Lucero, Dennis

Lucero, Dennis is an individual health care provider with primary practice located at 5400 Gibson Blvd Se , Alburquerque NM 87108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Lucero, Dennis can be contacted via phone (505) 262-7000.

Contact Information

Primary practice address
5400 Gibson Blvd Se Alburquerque NM 87108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 89-249 New Mexico

Profile Details

NPI number 1386667491
LBN Legal business name Lucero, Dennis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1386667491 NPPES
New Mexico MEDICAID 26120

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