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

Raymund G Lucero, PHYSICALTHERAPIST

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1164911095

Raymund G Lucero, PHYSICALTHERAPIST is a Physical Medicine & Rehabilitation Physician in Scott Air Force Base, Illinois. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018

Practice location Address checks out

310 W Losey St
Scott Air Force Base, IL 62225-5250
Phone: (618) 256-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4329 (NM)

Record details

NPI number1164911095
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026