Individual
NICHOLAS JOHN LACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
550 S JACKSON ST FL 1, LOUISVILLE, KY 40202-1622
(502) 588-4720
(502) 561-8687
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
243946
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300063777
—
IN
05
—
7100819790
—
KY
Enumeration date
05/08/2018
Last updated
07/05/2022
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