Provider Demographics
NPI:1073849907
Name:LASHLEY, KIRTON JAMES (MDIV)
Entity Type:Individual
Prefix:
First Name:KIRTON
Middle Name:JAMES
Last Name:LASHLEY
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 W 29TH ST
Mailing Address - Street 2:5 TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4504
Mailing Address - Country:US
Mailing Address - Phone:212-725-7850
Mailing Address - Fax:212-689-3212
Practice Address - Street 1:3 W 29TH ST
Practice Address - Street 2:5 TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4504
Practice Address - Country:US
Practice Address - Phone:212-725-7850
Practice Address - Fax:212-689-3212
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program