Individual
LAURA LUCERO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 E COLUMBUS DR, SUITE C, EAST CHICAGO, IN 46312-2829
(219) 933-2623
(219) 378-9284
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060516A
IN
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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