Individual
DR. JORGE L LACEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 E GARDEN ST STE B, LAKELAND, FL 33805-4615
(863) 588-4775
(863) 422-7664
Mailing address
PO BOX 878, DAVENPORT, FL 33836-0878
(689) 223-3898
(689) 223-3898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18764
PR
208D00000X
General Practice Physician
Primary
ACN1035
FL
Other
Enumeration date
06/13/2014
Last updated
03/24/2026
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