Lacika, John M
Lacika, John M is an individual health care provider with primary practice located at 1990 Connecticut Ave S , Sartell MN 56377-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lacika, John M can be contacted via phone (320) 257-5595.Contact Information
Primary practice address
1990 Connecticut Ave S
Sartell MN 56377-2554
Phone: (320) 257-5595
Fax: (320) 257-5596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 23577 | Minnesota |
Profile Details
| NPI number | 1699775114 |
|---|---|
| LBN Legal business name | Lacika, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Aug 11th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699775114 | NPPES |
| Minnesota | Other | 411772562 | GREATWEST HEALTHCARE |
| Minnesota | MEDICAID | 923872700 | GREATWEST HEALTHCARE |
| Minnesota | Other | 16-29699 | GREATWEST HEALTHCARE |
| Minnesota | Other | 965251008759 | GREATWEST HEALTHCARE |
| Minnesota | Other | HP25471 | GREATWEST HEALTHCARE |
| Minnesota | Other | 111023C561 | GREATWEST HEALTHCARE |
| Minnesota | Other | 26648 | GREATWEST HEALTHCARE |
| Minnesota | Other | 300039114 | GREATWEST HEALTHCARE |
| Minnesota | Other | 54887LA | GREATWEST HEALTHCARE |
Popular Providers
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Napp, Tracy E
1990 Connecticut Ave S , Sartell MN 56377-2554 -
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1990 Connecticut Ave S , Sartell MN 56377-2554 -
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1990 Connecticut Ave S , Sartell MN 56377-2554 -
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Nguyen, Hoang D
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Cunningham, Charles T
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