Organization
J. AGUSTIN LACSON M.D. INC
Active
Organization
J. AGUSTIN LACSON M.D. INC
Active
Parent organization
J. AGUSTIN LACSON M.D. INC
Other names
Lacson MD Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
J. AGUSTIN LACSON M.D. INC
Authorized official
JANICE CROSKERY (AUTHORIZED OFFICIAL/ EMPLOYEE)
(863) 385-6700
Entity
Organization
Contact information
Practice address
537 E CENTRAL AVE, WINTER HAVEN, FL 33880-3001
(863) 320-3530
Mailing address
537 E CENTRAL AVE, WINTER HAVEN, FL 33880-3001
(863) 320-3530
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/21/2025
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