Lacunza, John

Lacunza, John is an individual health care provider with primary practice located at 5001 Us Highway 30 W Ste D , Fort Wayne IN 46818-9701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lacunza, John can be contacted via phone (260) 432-1568.

Contact Information

Primary practice address
5001 Us Highway 30 W Ste D Fort Wayne IN 46818-9701
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01063881A Indiana
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 01063881A Indiana

Profile Details

NPI number 1235299975
LBN Legal business name Lacunza, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jun 17th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235299975 NPPES
Indiana MEDICAID 200864150
Indiana MEDICAID 1235299975
Indiana MEDICAID 2786070

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