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DR. MARIO LUCERO MD 1639173115

Overview
Name: DR. MARIO LUCERO MD Specialty: Contractor Type of Practice: Individual provider Provider/Org: Medical School: OTHER Graduation year from medical school: 1972 Affiliation:
Specialties
Practice Type: Other Service Providers Classification: Contractor Specialization: . GENERAL PRACTICE Definition of Specialty: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
License & NPI
License #(s): WV 13411, WV13411, , , License State(s): WV, WV, , ,
Addresses
Practice Location: ROUTE 16, MAIN STREET,WAR,WV,24892,US Mailing Address: ROUTE 16, MAIN STREET,WAR,WV,24892,US
Contact #
Practice location phone #: 3044251768 Practice location fax #: 3044253912 Mailing address Phone #: 3044251768 Mailing Address fax #: 3044253912 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 06/13/2005 Last data data was updated: 03/13/2008 Insurances:

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