Basic Information
Provider Information
NPI: 1225130768
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LACINA
FirstName: FRANCIS
MiddleName: JOSEPH
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 35380
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891335380
CountryCode: US
TelephoneNumber: 7028775199
FaxNumber:  
Practice Location
Address1: 2210 E CALVADA BLVD
Address2:  
City: PAHRUMP
State: NV
PostalCode: 890485804
CountryCode: US
TelephoneNumber: 7028775199
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/04/2006
LastUpdateDate: 02/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X266071-1NYN Allopathic & Osteopathic PhysiciansGeneral Practice 
208D00000XOS11248FLN Allopathic & Osteopathic PhysiciansGeneral Practice 
207Q00000XDO2498NVY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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