Organization
LIBERAL URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA E LUCERO M.D. (OWNER)
(620) 624-3700
Entity
Organization
Contact information
Practice address
2132 N KANSAS AVE STE A, LIBERAL, KS 67901-2099
(620) 624-3700
(620) 624-3702
Mailing address
2132 N KANSAS AVE STE A, LIBERAL, KS 67901-2099
(620) 624-3700
(620) 624-3702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0428884
KS
261QU0200X
Urgent Care Clinic/Center
Primary
0428884
KS
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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