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Organization

DAVID M LUCERO MD INC.

Active
Other names
David M Lucero MD Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID M LUCERO MD (CEO)
(760) 855-8882
Entity
Organization

Contact information

Practice address
1219 LARCHWOOD DR, OCEANSIDE, CA 92056-6407
(760) 855-8882
(760) 659-6533
Mailing address
1219 LARCHWOOD DR, OCEANSIDE, CA 92056-6407
(760) 855-8882
(760) 659-6533

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
G74961
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9943731
CA
Enumeration date
05/03/2018
Last updated
05/03/2018
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