Dr. Mario Lucero
Medical Geneticist
Route 16, Main Street
War
, West Virginia 24892
Dr. Mario Lucero
Medical Geneticist
Route 16, Main Street
War
, West Virginia 24892
(304) 425-3912
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Mario Lucero
- Route 16, Main Street
- War, WV
- Zip : 24892
- Fax : (304) 425-3912
- Phone : (304) 425-1768
Second Address
- Dr. Mario Lucero
- Route 16, Main Street
- War, WV
- Zip : 24892
- Fax : (304) 425-3912
- Phone : (304) 425-1768
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | WV13411 | WV |
National Provider Identifier
| NPI | 1639173115 |
|---|---|
| Provider Name | Dr. Mario Lucero |
| First Address | War, WV 24892 |
| Second Address | War, WV 24892 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2005 |
| Last Update Date | 13/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0049852000 | (05) | WV |
| D4918 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.