Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Lacson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104313634

John Lacson is a Family Practice in Phoenix, Arizona. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2018, 8 years ago. Practices with Centerwell Senior Primary Care Ga PC, a 56-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Pennsylvania.

Years since qualifying
8
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
AZ, PA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Phoenix, AZ

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 009179 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence OT18912 (PA)

Record details

NPI number1104313634
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2018 (8 years in practice)
Group practice Centerwell Senior Primary Care Ga Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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