Whalio Doctors

NPI 1699270991

Lucas Alfonso Bracero, MDMBA

Practitioner Pain Medicine Physician Charleston, WV

Practice location

Address
400 Court St STE 100, Charleston, WV 25301-1652
Phone
(304) 347-6120
Fax
(304) 347-6120

Registered specialties

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 32685 (WV)

Registry record

NPI
1699270991
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Mar 2018
Record last updated
15 Feb 2024

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.