Individual
DR. NICHOLAS THOMAS LACAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 W BOYLSTON ST, SUITE 107, WEST BOYLSTON, MA 01583-2365
(508) 854-1380
(508) 854-0446
Mailing address
360 W BOYLSTON ST, SUITE 107, WEST BOYLSTON, MA 01583-2365
(508) 854-1380
(508) 854-0446
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
39891
MA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
39891
MA
208000000X
Pediatrics Physician
39891
MA
2080A0000X
Pediatric Adolescent Medicine Physician
39891
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
39891
MA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
39891
MA
2080P0201X
Pediatric Allergy/Immunology Physician
39891
MA
2080P0205X
Pediatric Endocrinology Physician
39891
MA
2080P0206X
Pediatric Gastroenterology Physician
39891
MA
2080P0208X
Pediatric Infectious Diseases Physician
39891
MA
2080P0214X
Pediatric Pulmonology Physician
39891
MA
2080T0002X
Pediatric Medical Toxicology Physician
39891
MA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
39891
MA
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
39891
MA
208D00000X
General Practice Physician
Primary
39891
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030891
TUFTS PROVIDER ID
MA
05
—
2045842
—
MA
01
—
E11028
BLUE CROSS PROVIDER ID
MA
Enumeration date
08/23/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us