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Organization

MARIANA E. LUCERO, M.D., CHARTERED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANA E. LUCERO M.D. (OWNER/OPERATOR)
(620) 624-7400
Entity
Organization

Contact information

Practice address
2132 N KANSAS AVE STE B, LIBERAL, KS 67901-2099
(620) 624-7400
(620) 624-7444
Mailing address
2132 N KANSAS AVE STE B, LIBERAL, KS 67901-2099
(620) 624-7400
(620) 624-7444

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-28884
KS

Other

Enumeration date
03/05/2008
Last updated
03/05/2008
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