Lucero, Edward Michael
Lucero, Edward Michael is an individual health care provider with primary practice located at 18444 N 25Th Ave Ste 210, Phoenix AZ 85023-1264. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Lucero, Edward Michael can be contacted via phone (623) 537-5600.Contact Information
Primary practice address
18444 N 25Th Ave Ste 210
Phoenix AZ 85023-1264
Phone: (623) 537-5600
Fax: (866) 939-2673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 21440 | Arizona |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 21440 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 21440 | Arizona |
Profile Details
| NPI number | 1891752283 |
|---|---|
| LBN Legal business name | Lucero, Edward Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Apr 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891752283 | NPPES |
| Arizona | MEDICAID | 135378 |
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