Individual
JOHN W. LACORAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
750 BRUNSWICK AVE, CAPITAL HEALTH HOSPITALIST GROUP, 1ST FLOOR, TRENTON, NJ 08638-4143
(609) 815-7887
(609) 394-6299
Mailing address
3131 PRINCETON PIKE, BLDG. 5, SUITE 208, LAWRENCEVILLE, NJ 08648-2201
(609) 815-7829
(609) 815-7894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08772000
NJ
207Q00000X
Family Medicine Physician
264845-1
NY
207Q00000X
Family Medicine Physician
50927
CT
207Q00000X
Family Medicine Physician
OS015250
PA
207RH0005X
Hypertension Specialist Physician
25MB08772000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302163
—
NJ
05
—
1024948890001
—
PA
Enumeration date
08/01/2007
Last updated
10/14/2016
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