# DR. REYDOMINIQUE LUCERO GUMBOC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710990403
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MDR4859 | HI | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | DR.0061450 | CO | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | MD190882 | OR | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 02/04/2022