# DAVID M LUCERO MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David M Lucero MD Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639668742
- **Authorized official:** DAVID M LUCERO MD (CEO)
- **Authorized official phone:** (760) 855-8882

## Contact information

- **Practice address:** 1219 LARCHWOOD DR, OCEANSIDE, CA 92056-6407
- **Practice address phone:** (760) 855-8882
- **Practice address fax:** (760) 659-6533
- **Mailing address:** 1219 LARCHWOOD DR, OCEANSIDE, CA 92056-6407
- **Mailing address phone:** (760) 855-8882
- **Mailing address fax:** (760) 659-6533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | G74961 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018