Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIO LUCERO, MD
DeactivatedDR. MARIO LUCERO, MD is a 170100000X healthcare provider located in WAR, West Virginia. NPI 1639173115 is deactivated in the NPPES registry. Verify at CMS.
170100000X · WAR, WV
This NPI has been deactivated.
The record was deactivated on March 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639173115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2005 (0.75342465753425 yrs)
- Last Updated
- Mar 13, 2008
- Deactivated
- Mar 15, 2006
- Licenses
-
WV 13411 (WV)WV13411 (WV)
Practice Information
- Address
-
ROUTE 16, MAIN STREETWAR, WV, 24892Browse WV providers · Browse ZIP 24892
- Phone
- 3044251768
- Fax
- 3044253912
- Primary Specialty
-
170100000X
170100000X
- Additional Specialty
- 170100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.