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Individual

JOHN M LACIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-5595
(320) 257-5596
Mailing address
PO BOX 7366, SAINT CLOUD, MN 56302-7366
(320) 257-5595
(320) 257-5596

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23577
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111023C561
UCARE OF MINNESOTA
MN
01
16-29699
MEDICA
MN
01
26648
ARAZ/ AMERICA'S PPO
MN
01
300039114
RAILROAD MEDICARE
MN
01
411772562
GREATWEST HEALTHCARE
MN
01
54887LA
BLUE CROSS BLUE SHIELD
MN
05
923872700
MN
01
965251008759
PREFERRED ONE
MN
01
HP25471
HEALTH PARTNERS
MN
Enumeration date
07/27/2005
Last updated
08/11/2011
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