Conrad Phillip Lucero in Redlands - General Practice
Conrad Phillip Lucero - NPI 1821125626
Conrad Phillip Lucero is a General Practice in Redlands, California. Conrad Phillip Lucero practices all healthcare services and medical treatments related to General Practice. The NPI Number for Conrad Phillip Lucero is 1821125626. The last update date is 2007-07-08.
Conrad Phillip Lucero's current location address is 204 E Olive Ave, Redlands, California. You can contact this provider via phone number 9093070707 and fax number 9093070733. The mailing address for Conrad Phillip Lucero is 204 E Olive Ave, Redlands, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Conrad Phillip Lucero |
|---|---|
| Address | 204 E Olive Ave, Redlands, California |
| Phone Number | 9093070707 |
| Fax Number | 9093070733 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1821125626 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 204 E Olive Ave |
|---|---|
| City | Redlands |
| State | California (CA) |
| Post Code | 923735252 |
| Phone Number | 9093070707 |
| Fax Number | 9093070733 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 31491 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Conrad Phillip Lucero by the Centers for Medicare & Medicaid Services?
The Conrad Phillip Lucero has been assigned the NPI (National Provider Identifier) 1821125626 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Conrad Phillip Lucero is physically located?
The Conrad Phillip Lucero is physically situated at the following address: 204 E Olive Ave, Redlands, CA, 923735252.
What is the Conrad Phillip Lucero's area of specialization and corresponding taxonomy classification?
The Conrad Phillip Lucero's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821125626 to Conrad Phillip Lucero?
The Centers for Medicare & Medicaid Services originally issued the 1821125626 to Conrad Phillip Lucero on 2007-02-27.
As of what date were the details related to Conrad Phillip Lucero most recently updated or revised?
The information pertaining to Conrad Phillip Lucero, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.