Provider Demographics
NPI:1689709578
Name:JOSEPH M. LACONTE, D.P.M.,INC.
Entity Type:Organization
Organization Name:JOSEPH M. LACONTE, D.P.M.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LACONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:508-752-9444
Mailing Address - Street 1:1078 W BOYLSTON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1167
Mailing Address - Country:US
Mailing Address - Phone:508-752-9444
Mailing Address - Fax:508-752-9452
Practice Address - Street 1:1078 W BOYLSTON ST STE 201
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-1167
Practice Address - Country:US
Practice Address - Phone:508-752-9444
Practice Address - Fax:508-752-9452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1897213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110077817AMedicaid
MAT88028Medicare UPIN
MA6029740001Medicare NSC
MA0001201Medicare PIN