Individual
LUCINEI GERALDO STADNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5872
Mailing address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5872
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NO
CO
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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