Lucero, Mariana E

Lucero, Mariana E is an sole proprietor health care provider with primary practice located at 2132 N Kansas Ave Ste B , Liberal KS 67901-2099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lucero, Mariana E can be contacted via phone (620) 624-7400.

Contact Information

Primary practice address
2132 N Kansas Ave Ste B Liberal KS 67901-2099
Phone: (620) 624-7400
Fax: (620) 624-7444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0428884 Kansas

Profile Details

NPI number 1831168673
LBN Legal business name Lucero, Mariana E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated Jun 5th, 2019 - about 6 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 1831168673 NPPES
Oklahoma MEDICAID 100222220A
Oklahoma MEDICAID 100379910C
Oklahoma Other 111218
Oklahoma Other 105320

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