Provider Demographics
NPI:1780852798
Name:STEVEN A. LASHLEY
Entity Type:Organization
Organization Name:STEVEN A. LASHLEY
Other - Org Name:STEVEN A LASHLEY D.P.M.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:LASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-369-3069
Mailing Address - Street 1:143 N CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-4209
Mailing Address - Country:US
Mailing Address - Phone:561-369-3069
Mailing Address - Fax:561-369-1276
Practice Address - Street 1:143 N CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-4209
Practice Address - Country:US
Practice Address - Phone:561-369-3069
Practice Address - Fax:561-369-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041169801Medicaid
65087Medicare PIN
FL0468320001Medicare NSC
FL041169801Medicaid