Provider Demographics
NPI:1508935131
Name:LASHLEY, SUSAN L
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:L
Last Name:LASHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 SOUTH ST STE 380
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6440
Mailing Address - Country:US
Mailing Address - Phone:973-971-7080
Mailing Address - Fax:
Practice Address - Street 1:435 SOUTH ST STE 380
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6440
Practice Address - Country:US
Practice Address - Phone:973-971-7080
Practice Address - Fax:973-290-7316
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237113207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology