# MARILOU C. LUCERO MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821403502
- **Authorized official:** DR. MARILOU C. LUCERO M.D (OWNER/PRESIDENT)
- **Authorized official phone:** (562) 861-3581

## Contact information

- **Practice address:** 8301 FLORENCE AVE, SUITE 104, DOWNEY, CA 90240-3936
- **Practice address phone:** (562) 861-3581
- **Practice address fax:** (562) 861-5863
- **Mailing address:** 8301 FLORENCE AVE, SUITE 104, DOWNEY, CA 90240-3936
- **Mailing address phone:** (562) 861-3581
- **Mailing address fax:** (562) 861-5863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A31375 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2014
- **Last updated:** 06/21/2014