Individual
DR. LUCAS ALFONSO BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
400 COURT ST STE 100, CHARLESTON, WV 25301-1652
(304) 347-6120
(304) 347-6120
Mailing address
400 COURT ST STE 100, CHARLESTON, WV 25301-1652
(304) 347-6120
(304) 347-6126
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
32685
WV
Other
Enumeration date
03/28/2018
Last updated
02/15/2024
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