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Dr. Perry Gerard Lucero

Dentist in La Verne, CA. Individual provider (NPI-1).

NPI number1700046232
StatusActive
Last updated in NPPESJun 9, 2008

Details

NPI
1700046232
Entity type
Individual (NPI-1)
Name
Dr. Perry Gerard Lucero
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2008
Last updated
Jun 9, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
Medicare opt-out
Jul 1, 2016 to Jul 1, 2028
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist034374CAYes

Practice location

2210 3rd St
La Verne, CA 91750-4917

Phone 909-593-4628 · Fax 909-593-4125

Mailing address

2210 3rd St
La Verne, CA 91750-4917

Phone 909-593-4628 · Fax 909-593-4125

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in La Verne, CA

All 13 Dentist providers in La Verne · All 659 providers in La Verne

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