Organization
ERNEST A. LUCERO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST ANTHONY LUCERO M.D. (PRESIDENT)
(208) 267-2086
Entity
Organization
Contact information
Practice address
6641 KANIKSU ST STE B, BONNERS FERRY, ID 83805-7532
(208) 267-2086
(208) 267-4013
Mailing address
6641 KANIKSU ST STE B, PO BOX 898, BONNERS FERRY, ID 83805-7532
(208) 267-2086
(208) 267-4013
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M5577
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003687
BLUE SHIELD OF IDAHO
ID
01
—
DA558
BLUE CROSS OF IDAHO
—
Enumeration date
12/04/2007
Last updated
12/04/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us