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Organization
RICHARD J. LAVACOT, M.D., INC.
Active
Organization
RICHARD J. LAVACOT, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J LAVACOT M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, SUITE C-100, ENCINITAS, CA 92024-1328
(760) 942-8800
(760) 942-0106
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G39842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G398421
—
CA
Enumeration date
09/20/2006
Last updated
05/26/2009
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