Lucero, Manuel Paulin
Lucero, Manuel Paulin is an individual health care provider with primary practice located at 2121A Bellevue Rd , Dublin GA 31021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lucero, Manuel Paulin can be contacted via phone (478) 272-1190.Contact Information
Primary practice address
2121A Bellevue Rd
Dublin GA 31021
Phone: (478) 272-1190
Fax: (478) 274-7628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 029031 | Georgia |
Profile Details
| NPI number | 1902883903 |
|---|---|
| LBN Legal business name | Lucero, Manuel Paulin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jan 10th, 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 | 1902883903 | NPPES |
| Georgia | MEDICAID | 300030912A | |
| Georgia | MEDICAID | 00606284H |
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