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EDWARD LUCERO JR. SFIDC
NPI 1275957474
Military Health Care Provider - Independent Duty Corpsman in Lakeside, CA

Active since February 07, 2014
11207 GOLD BAR WAY APT 130, LAKESIDE, CA 92040(619) 368-8865 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Lucero Jr. Sfidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD LUCERO JR. SFIDC (NPI 1275957474) is an individual independent duty corpsman provider in Lakeside, California and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1275957474
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameEDWARD LUCERO JR.Credential: SFIDC
Location Address11207 GOLD BAR WAY APT 130Lakeside, CA 92040-1367
Mailing Address11207 Gold Bar Way Apt 130Lakeside, CA 92040-1367 · (619) 368-8865
Phone(619) 368-8865
Sole ProprietorYes
Enumeration DateFebruary 7, 2014
✔ NPI 1275957474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
11207 GOLD BAR WAY APT 130, Lakeside, CA 92040
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Lucero's NPI number?

The NPI number for Edward Lucero is 1275957474. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Where is Edward Lucero located?

Edward Lucero practices at 11207 Gold Bar Way Apt 130, Lakeside, CA 92040. The listed phone number is (619) 368-8865.

What is Edward Lucero's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Edward Lucero was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.