John Lacunza is a Body Imaging in Fort Wayne, Indiana. John Lacunza practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for John Lacunza is 1235299975. The last update date is 2016-06-17.
John Lacunza's current location address is Po Box 80070, Fort Wayne, Indiana. You can contact this provider via phone number 2604321568 and fax number 2604324969. The mailing address for John Lacunza is Po Box 80070, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Lacunza |
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Address | Po Box 80070, Fort Wayne, Indiana |
Phone Number | 2604321568 |
Fax Number | 2604324969 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1235299975 |
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Provider Enumeration Date | 2006-12-11 |
Last Updated Date | 2016-06-17 |
Provider Mailing Address Detail
Address | Po Box 80070 |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468980070 |
Phone Number | 2604321568 |
Fax Number | 2604324969 |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
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Taxonomy | 2085B0100X |
Licence No | 01063881A |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200864150 | IN | -- | |
1235299975 | MI | -- | |
2786070 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Lacunza by the Centers for Medicare & Medicaid Services?
The John Lacunza has been issued the NPI (National Provider Identifier) 1235299975 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Lacunza's facilities are situated?
The facilities of John Lacunza are physically located at the following address: Po Box 80070, Fort Wayne, IN, 468980070.
What is John Lacunza's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Lacunza's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.
On what date did the John Lacunza receive the assignment of its 1235299975 from the Centers for Medicare & Medicaid Services?
The John Lacunza was issued its 1235299975 by the Centers for Medicare & Medicaid Services on 2006-12-11.
As of what date were the details related to John Lacunza most recently updated or revised?
The information pertaining to John Lacunza, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-17.
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