Ginger R Lucero, PA-C
Physician Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1003107293
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1003107293
- Entity type
- Individual (NPI-1)
- Name
- Ginger R Lucero
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2011
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA21490 | CA | Yes |
Practice location
5717 Pacific Center Blvd Ste 200San Diego, CA 92121-4250
Phone 858-859-1188
Mailing address
1172 S. Main St. #380Workwell Medical Group
Salinas, CA 93901-2204
Phone 831-533-5353 · Fax 831-536-1859
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