Individual
DR. JOHN IACUONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6630 QUAKER AVE, SUITE I, LUBBOCK, TX 79413-5900
(806) 743-7337
(806) 743-2314
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
E7627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18029
PRESBYTERIAN COMMERCIAL
NM
05
—
18029
—
NM
01
—
87516Z
HMO BLUE
TX
01
—
89C160
BC/BS
TX
01
—
D002
TRIWEST
NM
01
—
P0030946
DPS
TX
05
—
U3067
—
NM
Enumeration date
11/02/2005
Last updated
03/07/2023
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