Provider Demographics
NPI:1568582989
Name:LASHLEY, LASHELL ROBIN
Entity Type:Individual
Prefix:MRS
First Name:LASHELL
Middle Name:ROBIN
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 1:5325 GRAYSON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSON
Mailing Address - State:KY
Mailing Address - Zip Code:42726-8670
Mailing Address - Country:US
Mailing Address - Phone:270-868-0089
Mailing Address - Fax:
Practice Address - Street 1:5325 GRAYSON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CLARKSON
Practice Address - State:KY
Practice Address - Zip Code:42726-8670
Practice Address - Country:US
Practice Address - Phone:270-868-0089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist