Lucero, Julie Newmann

Lucero, Julie Newmann is an individual health care provider with primary practice located at 229 W Stewart Ave , Medford OR 97501-3663. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Lucero, Julie Newmann can be contacted via phone (541) 282-8808.

Contact Information

Primary practice address
229 W Stewart Ave Medford OR 97501-3663
Fax: (541) 618-6452
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA00607 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00607 Oregon

Profile Details

NPI number 1114060746
LBN Legal business name Lucero, Julie Newmann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Apr 3rd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114060746 NPPES
Oregon MEDICAID 5000637855

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