Ernest A. Lucero, Md Pc

LBN: Ernest A. Lucero, Md Pc
Ernest A. Lucero, Md Pc is an health care organization with primary practice located at 6641 Kaniksu St Ste B , Bonners Ferry ID 83805-7532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Ernest A. Lucero, Md Pc can be contacted via phone (208) 267-2086, or through Lucero, Ernest Anthony via phone (208) 267-2086.

Contact Information

Primary practice address
6641 Kaniksu St Ste B Bonners Ferry ID 83805-7532
Phone: (208) 267-2086
Fax: (208) 267-4013
Website:
Map and Directions
Authorized official contact:
Name: Lucero, Ernest Anthony Doctor of Medicine (MD)
Phone: (208) 267-2086

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X M5577 Idaho

Profile Details

NPI number 1912189697
LBN Legal business name Ernest A. Lucero, Md Pc
DBA Doing business as
Authorized official Lucero, Ernest Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Dec 4th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912189697 NPPES
Other DA558 BLUE CROSS OF IDAHO
Other 000010003687 BLUE CROSS OF IDAHO

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