Individual ProviderCynthia Ann LuceroPediatricsAllopathic & Osteopathic PhysiciansPractice Address3801 Miranda Ave, Mail Code 132, Palo Alto, CA 94304-1207(650) 849-1936PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia Ann Lucero does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1548411127Provider TypeIndividualFull NameLucero, Cynthia AnnTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date10/1/2008Last Updated10/1/2008Contact InformationPractice LocationPractice Address3801 Miranda Ave, Mail Code 132, Palo Alto, CA 94304-1207Phone(650) 849-1936Fax(650) 858-3978Mailing LocationMailing Address3801 Miranda Ave, Mail Code 132, Palo Alto, CA 94304-1207Phone(650) 849-1936Fax(650) 858-3978Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA103994CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseMD428630Pennsylvania