| Lacus Neuro Pllc | |
|
1999 Sw 27th Ave Miami FL 33145-2543 | |
| (787) 403-1578 | |
| Not Available |
| Full Name | Lacus Neuro Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1999 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Lourdes Roxana Lago (DOCTOR) |
| Authorized Official Contact | 7874031578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacus Neuro Pllc 1999 Sw 27th Ave Miami FL 33145-2543 Ph: (787) 403-1578 | Lacus Neuro Pllc 1999 Sw 27th Ave Miami FL 33145-2543 Ph: (787) 403-1578 |
| NPI Number | 1992464614 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 03/17/2022 |
| Certification Date | 12/15/2021 |
| Medicare PECOS PAC ID | 5991182297 |
|---|---|
| Medicare Enrollment ID | O20220505002307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992464614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Lourdes Lago |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720316037 PECOS PAC ID: 0345560744 Enrollment ID: I20150527001245 |
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