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General NPI Number Information
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NPI Number | 1235303728
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Entity Type | Organization
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Legal Business Name | JOHN P. LACSON, MD
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 4126 SOUTHWEST FWY STE 600C
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City | HOUSTON
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State | TX
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Zip | 77027-7317
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Country | US
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Telephone | 713-626-9981
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Fax |
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Provider Business Mailing Address
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Address Line | 4126 SOUTHWEST FWY STE 600C
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City | HOUSTON
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State | TX
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Zip | 77027-7317
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Country | US
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Telephone | 713-626-9981
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN P. LACSON
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Credential | M.D.
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Telephone | 713-626-9971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J7806
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License Number State | TX
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