Lucero, Prudencio Cuison

Lucero, Prudencio Cuison is an individual health care provider with primary practice located at 1000 Stonewood Dr Ste 110, Wexford PA 15090-8386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lucero, Prudencio Cuison can be contacted via phone (724) 940-6000.

Contact Information

Primary practice address
1000 Stonewood Dr Ste 110 Wexford PA 15090-8386
Fax: (724) 940-6006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD050308L Pennsylvania

Profile Details

NPI number 1497751887
LBN Legal business name Lucero, Prudencio Cuison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 19th, 2013 - about 12 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 1497751887 NPPES
Pennsylvania MEDICAID 01799697

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