Mark Mathew Lucero in Vero Beach - Surgical
Mark Mathew Lucero - NPI 1730154790
Mark Mathew Lucero is a Surgical in Vero Beach, Florida. Mark Mathew Lucero practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark Mathew Lucero is 1730154790. The last update date is 2007-07-08.
Mark Mathew Lucero's current location address is 1000 36th St, Vero Beach, Florida. You can contact this provider via phone number 7725674311. The mailing address for Mark Mathew Lucero is 1000 36th St, Vero Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Mathew Lucero |
|---|---|
| Address | 1000 36th St, Vero Beach, Florida |
| Phone Number | 7725674311 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1730154790 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 36th St |
|---|---|
| City | Vero Beach |
| State | Florida (FL) |
| Post Code | 329604862 |
| Phone Number | 7725674311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9102527 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00253782 | FL | RR MEDICARE | |
| X1617 | FL | BLUE CROSS | |
| 291673800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Mathew Lucero by the Centers for Medicare & Medicaid Services?
The Mark Mathew Lucero has been assigned the NPI (National Provider Identifier) 1730154790 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark Mathew Lucero is geographically located?
The Mark Mathew Lucero is physically situated at the following location: 1000 36Th St, Vero Beach, FL, 329604862.
What is the area of specialization for Mark Mathew Lucero, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Mathew Lucero is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
On what date did the Mark Mathew Lucero receive the assignment of its 1730154790 from the Centers for Medicare & Medicaid Services?
The Mark Mathew Lucero was issued its 1730154790 by the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information regarding Mark Mathew Lucero most recently updated?
The details pertaining to the Mark Mathew Lucero, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.