Provider Demographics
NPI:1619555422
Name:FLAGG, ASHLEE LASHAE (PHLEBOTMIST)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:LASHAE
Last Name:FLAGG
Suffix:
Gender:F
Credentials:PHLEBOTMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 PENTLAND DR APT 305
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7299
Mailing Address - Country:US
Mailing Address - Phone:443-337-3212
Mailing Address - Fax:
Practice Address - Street 1:2301 PENTLAND DR APT 305
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-7299
Practice Address - Country:US
Practice Address - Phone:443-337-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20-1633246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy