Lucero, Stephen Paul

Lucero, Stephen Paul is an sole proprietor health care provider with primary practice located at 1650 Hospital Dr Suite 300, Santa Fe NM 87505-4769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lucero, Stephen Paul can be contacted via phone (505) 989-8325.

Contact Information

Primary practice address
1650 Hospital Dr Suite 300 Santa Fe NM 87505-4769
Phone: (505) 989-8325
Fax: (505) 982-7665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X NM 86 273 New Mexico

Profile Details

NPI number 1154414027
LBN Legal business name Lucero, Stephen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1154414027 NPPES
New Jersey Other 943384296 TAX ID
New Jersey MEDICAID 37481 TAX ID

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