STEPHEN LUCERO, MD, PC
Urology at Hospital Dr, Santa Fe, NM

License number
New Mexico 86 273
Category
Radiology
Type
Urology
Owner
Name: DR. STEPHEN PAUL LUCERO MD
Title: PRESIDENT
Phone: (505) 989-8325
Address
Address
1650 Hospital Dr SUITE 300, Santa Fe, NM 87505
National Provider ID: 1710259692
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHEN LUCERO, M.D., PC

1650 Hospital Drive  , Santa Fe, NM 87501

Registration:
Jan 4, 2001
State ID:
2136620
Business type:
Domestic Professional Corporation
President:
Stephen Lucero (President)
Agent:
Stephen Lucero, M.d,1650 Hospital Dr, Santa Fe, NM 87501 (Physical)

Urology licenses in New Mexico





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