NPI 1003107293

Ginger R Lucero, PAC

Practitioner Physician Assistant San Diego, CA

Practice location

Address: 5717 Pacific Center Blvd STE 200, San Diego, CA 92121-4250
Phone: (858) 859-1188
Mailing address: 1172 S. Main St. #380 Workwell Medical Group, Salinas, CA 93901-2204

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA21490 (CA)

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Registry record

NPI: 1003107293
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2011
Record last updated: 8 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.