MEDICARE: JACQUELINE M LACAVA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1750211298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACQUELINE M LACAVA LLC

Provider Business Mailing Address
First Line	:	PO BOX 134
Second Line	:
City	:	VALLEY FORGE
State	:	PA
Zip	:	19481-0134
Country	:	US
Telephone Number	:	610-790-3068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1288 VALLEY FORGE RD STE 78
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-2687
Country	:	US
Telephone Number	:	610-790-3068
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELINE LACAVA
Credential	:	MSAOM
Telephone Number	:	610-790-3068

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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