Individual
DR. RICHARD A LACAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7B PITT ST, CHARLESTON, SC 29401
(843) 723-6166
(843) 534-2980
Mailing address
PO BOX 20430, CHARLESTON, SC 29413-0430
(843) 723-6166
(843) 534-2980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0509
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005096
—
SC
01
—
080145984
RAILROAD MEDICARE
—
Enumeration date
08/29/2006
Last updated
05/06/2010
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