Male or Other

Dr. Jorge L. Lacen M.D.

General Practice Physician in Haines City, FL(View on Map)

Full Name

Dr. Jorge L. Lacen M.D.

NPI Number

1023422425

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/13/2014

Specialties

(Taxonomies)

Code

208D00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Puerto Rico

License Number

ACN1035
18764

Contact
Information

Purpose

Mailing
Location

Address

425 W COLONIAL DR STE 303
33044 US HWY 27 N

City

Orlando
Haines City

State

FL
FL

Postal Code

32804-6863
33844-7621

Country

US
US

Telephone Number

(321) 332-6947
(863) 422-4977

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/16/2024

Provider Address

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