Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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
Specialties on file
2

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 Therapy Assistant (primary) Taxonomy 225200000X
Physical Medicine & Rehabilitation Physician 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 NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026