Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Lucero Jr., SFIDC

Individual provider Independent Duty Corpsman · NPI 1275957474

Edward Lucero Jr., SFIDC is an Independent Duty Corpsman in Lakeside, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

11207 Gold Bar Way Apt 130
Lakeside, CA 92040-1367
Phone: (619) 368-8865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1275957474
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorYes
NPI enumeratedFebruary 7, 2014
Last updated in NPPESFebruary 7, 2014

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