NPI 1033164645

Carlos Estanislao Lucero, MD

Practitioner Developmental - Behavioral Pediatrics Physician Beckley, WV

Practice location

Address: 403 Carriage Drive, Beckley, WV 25801
Phone: (304) 255-7456
Fax: (304) 255-5899
Mailing address: 403 Carriage Dr, Beckley, WV 25801-2805

Registered specialties

Developmental - Behavioral Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 10355 (WV)

Other Pediatrics providers in West Virginia →

Registry record

NPI: 1033164645
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2006
Record last updated: 7 Jul 2008

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.