NPI 1639173115

Mario Lucero, MD

Practitioner Ph.D. Medical Genetics War, WV

Practice location

Address: Route 16, Main Street, War, WV 24892
Phone: (304) 425-1768
Fax: (304) 425-3912

Registered specialties (2)

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence WV13411 (WV)

Other Medical Genetics, Ph.D. Medical Genetics providers in West Virginia →

Contractor

Other Service Providers Taxonomy 171W00000X Licence WV 13411 (WV)

Other Contractor providers in West Virginia →

Registry record

NPI: 1639173115
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2005
Record last updated: 13 Mar 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.