Individual
DR. ENRIQUE LACUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22-29TH STREET, SUITE A, GULFPORT, MS 39507
(228) 868-9615
(228) 868-9677
Mailing address
22-29TH STREET, SUITE A, GULFPORT, MS 39507
(228) 868-9615
(228) 868-9677
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1758-77
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
755128
UNITED CONCORDIA PROVIDER
MS
Enumeration date
12/19/2006
Last updated
07/08/2007
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