Provider Demographics
NPI:1821281528
Name:JOSEPH M. LACAVA, DPM.,PA
Entity Type:Organization
Organization Name:JOSEPH M. LACAVA, DPM.,PA
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:LACAVA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:501-321-4844
Mailing Address - Street 1:3339 CENTRAL AVE
Mailing Address - Street 2:STE.F
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6138
Mailing Address - Country:US
Mailing Address - Phone:501-321-4844
Mailing Address - Fax:501-321-0956
Practice Address - Street 1:3339 CENTRAL AVE
Practice Address - Street 2:STE.F
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6138
Practice Address - Country:US
Practice Address - Phone:501-321-4844
Practice Address - Fax:501-321-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-26
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR217213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR6690190001Medicare NSC