Individual
DR. JUAN CARLOS LACAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(678) 905-9625
(770) 674-5880
Mailing address
3525 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(678) 905-9625
(770) 674-5880
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
65835
GA
2084N0400X
Neurology Physician
ME101028
FL
Other
Enumeration date
09/25/2007
Last updated
12/11/2024
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