Organization
JOHN E LACO DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD LACO DPM (PODIATRIST)
(952) 435-3553
Entity
Organization
Contact information
Practice address
10651 165TH STREET WEST, LAKEVILLE, MN 55044
(952) 435-3553
(952) 241-3806
Mailing address
10651 165TH STREET WEST, LAKEVILLE, MN 55044
(952) 435-3553
(952) 241-3806
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
420
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473725300
—
MN
01
—
59222LA
BCBS
MN
Enumeration date
05/07/2007
Last updated
01/22/2008
Update your record
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