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ERNEST A. LUCERO, M.D., P.C.

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Company Details

Name: ERNEST A. LUCERO, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 Jul 1995 (30 years ago)
Financial Date End: 31 Jul 2014
Date dissolved: 15 Oct 2014
Entity Number: 343295
Place of Formation: IDAHO
File Number: 0000343295
ZIP code: 83805
County: Boundary County
Mailing Address: PO BOX 266 BONNERS FERRY, ID 83805

National Provider Identifier

NPI Number:
1912189697

Authorized Person:

Name:
DR. ERNEST ANTHONY LUCERO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
2082674013

Filing

Filing Name Filing Number Filing date
Annual Report 0002458634 2013-07-29
Annual Report 0002458632 2012-07-19
Annual Report 0002458627 2011-06-21
Annual Report 0002458626 2010-05-17
Annual Report 0002458625 2009-07-09

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State