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Organization

ENRIQUE JOSE. LACAYO, M.D., LTD.

Active
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Organization

ENRIQUE JOSE. LACAYO, M.D., LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ENRIQUE JOSE LACAYO M.D. (PRESIDENT/OWNER)
(702) 382-6970
Entity
Organization

Contact information

Practice address
2010 GOLDRING AVE, SUITE 302, LAS VEGAS, NV 89106-4002
(702) 382-6970
(702) 382-9493
Mailing address
2010 GOLDRING AVE, SUITE 302, LAS VEGAS, NV 89106-4002
(702) 382-6970
(702) 382-9493

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3199
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002002214
NV
01
102134004
RAILROAD MEDICARE
01
2499444
GHI
01
25647
BLUE CROSS
NV
01
275
NEVADA CARE
NV
01
89707
HEALTH PARTNERS
Enumeration date
09/23/2011
Last updated
10/03/2011
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