OrganizationActive
Carlos E Lucero
NPI 1649304395 · Pediatric Adolescent Medicine Physician · Beckley, WV
Provider details
- NPI number
- 1649304395
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Lucero, Owner(304) 255-7456
- License
- 10355 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
403 Carriage Dr
Beckley, WV 25801-2805
Phone: (304) 255-7456
Fax: (304) 255-5899
Approximate (ZIP-level) locationGet directions
Mailing address
403 Carriage Dr
Beckley, WV 25801
Other names (DBA / former)
- Doing business as
- Beckley Neonatal-Pediatric Care
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.