Individual provider · Type 1 NPI
Mario Lucero, MD
Ph.D. Medical Genetics · War, WV
NPI number
1639173115
Active · reactivated Apr 4, 2006
Practice location
Route 16, Main Street
War, WV 24892
Fax (304) 425-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | WV 13411 (WV) |
| Ph.D. Medical Genetics Primary | 170100000X | WV13411 (WV) |
Ph.D. Medical Genetics: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
About NPI 1639173115
Mario Lucero, MD's National Provider Identifier is 1639173115, issued on Jun 13, 2005. The primary taxonomy on file is Ph.D. Medical Genetics (170100000X), and the practice location is in War, WV. The record was last updated on Mar 13, 2008.