Organization · Type 2 NPI
Ernest A. Lucero, MD PC
General Practice Physician · Bonners Ferry, ID
NPI number
1912189697
Active
Practice location
6641 Kaniksu St Ste B
Bonners Ferry, ID 83805-7532
Fax (208) 267-4013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | M5577 (ID) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1912189697
Ernest A. Lucero, MD PC's National Provider Identifier is 1912189697, issued on Dec 4, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bonners Ferry, ID. The record was last updated on Dec 4, 2007.