Mario Lucero is a Contractor in War, . Mario Lucero practices all healthcare services and medical treatments related to Contractor. The NPI Number for Mario Lucero is 1639173115. The last update date is 2008-03-13.
Mario Lucero's current location address is Route 16, Main Street, War, . You can contact this provider via phone number 3044251768 and fax number 3044253912. The mailing address for Mario Lucero is Route 16, Main Street, War, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Lucero |
|---|---|
| Address | Route 16, Main Street, War, |
| Phone Number | 3044251768 |
| Fax Number | 3044253912 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639173115 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | Route 16, Main Street |
|---|---|
| City | War |
| State | (WV) |
| Post Code | 248920 |
| Phone Number | 3044251768 |
| Fax Number | 3044253912 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | WV 13411 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49852000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mario Lucero by the Centers for Medicare & Medicaid Services?
The Mario Lucero has been assigned the NPI (National Provider Identifier) 1639173115 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mario Lucero is physically located?
The Mario Lucero is situated at the following address: Route 16, Main Street, War, WV 248920.
What is the Mario Lucero's specialty and taxonomy code?
The Mario Lucero's specialty is Contractor, and the corresponding taxonomy code is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639173115 to Mario Lucero?
The Mario Lucero received its 1639173115 assignment from the Centers for Medicare & Medicaid Services on 2005-06-13.
When was the Mario Lucero's information last updated?
The Mario Lucero's information was last updated on 2008-03-13.