Provider Demographics
NPI:1497704654
Name:LASHER, JOHN CHESTER (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CHESTER
Last Name:LASHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51986
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-1986
Mailing Address - Country:US
Mailing Address - Phone:806-356-5519
Mailing Address - Fax:806-356-5507
Practice Address - Street 1:6700 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1729
Practice Address - Country:US
Practice Address - Phone:806-356-5519
Practice Address - Fax:806-356-5508
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG24172085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117470805Medicaid
TXE08958Medicare UPIN
TX117470805Medicaid
TX308958Medicare UPIN