Healthcare Provider Details

I. General information

NPI: 1821281528
Provider Name (Legal Business Name): JOSEPH M. LACAVA, DPM.,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2007
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3339 CENTRAL AVE STE.F
HOT SPRINGS AR
71913-6138
US

IV. Provider business mailing address

3339 CENTRAL AVE STE.F
HOT SPRINGS AR
71913-6138
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-4844
  • Fax: 501-321-0956
Mailing address:
  • Phone: 501-321-4844
  • Fax: 501-321-0956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number217
License Number StateAR

VIII. Authorized Official

Name: DR. JOSEPH MICHAEL LACAVA
Title or Position: PRESIDENT
Credential: DPM
Phone: 501-321-4844