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Dr. Jorge L Lacen, M.D.

General Practice in Lakeland, FL. Individual provider (NPI-1).

NPI number1023422425
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1023422425
Entity type
Individual (NPI-1)
Name
Dr. Jorge L Lacen
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2014
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeACN1035FLYes
208D00000X General Practice18764PR

Practice location

515 E Garden St Ste B
Lakeland, FL 33805-4615

Phone 863-588-4775 · Fax 863-422-7664

Mailing address

Po Box 878
Davenport, FL 33836-0878

Phone 689-223-3898 · Fax 689-223-3898

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