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Individual

THERESA LACAVA

Active
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Individual

THERESA LACAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063299L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000833D4Z
HGSA MEDICARE
PA
05
—
0016639200009
—
PA
01
—
080143282
RAILROAD MEDICARE
PA
01
—
1115189
UPMC
PA
01
—
139508
HIGHMARK
PA
01
—
75016
MEDPLUS
PA
01
—
P001082
GATEWAY
PA
Enumeration date
08/01/2005
Last updated
09/16/2011
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