Individual
DR. STEPHEN PAUL LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 HOSPITAL DR, SUITE 300, SANTA FE, NM 87505-4769
(505) 989-8325
(505) 982-7665
Mailing address
1650 HOSPITAL DR, SUITE 300, SANTA FE, NM 87505-4769
(505) 989-8325
(505) 982-7665
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
NM 86 273
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37481
—
NM
01
—
943384296
TAX ID
NJ
Enumeration date
10/02/2006
Last updated
07/08/2007
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