Individual
DR. FRANK JOHN LACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7513 FORT HAMILTON PKWY, BROOKLYN, NY 11228-2305
(718) 680-6604
Mailing address
7513 FORT HAMILTON PKWY, BROOKLYN, NY 11228-2305
(718) 680-6604
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
175314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01265530
—
NY
Enumeration date
02/14/2006
Last updated
05/22/2013
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