John Allen Lucero in Fort Belvoir - Clinical
John Allen Lucero - NPI 1568452050
John Allen Lucero is a Clinical in Fort Belvoir, Virginia. John Allen Lucero practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Allen Lucero is 1568452050. The last update date is 2007-07-08.
John Allen Lucero's current location address is 9501 Farrell Rd, Fort Belvoir, Virginia. You can contact this provider via phone number 7036964934 and fax number 7036969256. The mailing address for John Allen Lucero is 9501 Farrell Rd, Fort Belvoir, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Allen Lucero |
|---|---|
| Address | 9501 Farrell Rd, Fort Belvoir, Virginia |
| Phone Number | 7036964934 |
| Fax Number | 7036969256 |
| Sole Proprietor | X |
| Credentials | PH.D., M.S |
NPI Number Detail
| NPI Number | 1568452050 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9501 Farrell Rd |
|---|---|
| City | Fort Belvoir |
| State | Virginia (VA) |
| Post Code | 220605901 |
| Phone Number | 7036964934 |
| Fax Number | 7036969256 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2762 |
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What is the unique provider identifier assigned to John Allen Lucero?
The John Allen Lucero has been issued the NPI (National Provider Identifier) 1568452050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Allen Lucero's physical address?
The John Allen Lucero is physically located at 9501 Farrell Rd, in the city of Fort Belvoir, VA, with the postal code 220605901.
What is the area of specialization for John Allen Lucero, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Allen Lucero is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did John Allen Lucero receive its 1568452050 assignment from the Centers for Medicare & Medicaid Services?
The John Allen Lucero was assigned its 1568452050 on 2005-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Allen Lucero last refreshed?
The information related to the John Allen Lucero, including its address, specialty, and other relevant details, was last updated on 2007-07-08.