Provider Demographics
NPI:1942516570
Name:LASH, LAUREN L (PT, MPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:L
Last Name:LASH
Suffix:
Gender:F
Credentials:PT, MPH
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:L
Other - Last Name:LASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, MPH
Mailing Address - Street 1:1901 S NUGENT RD
Mailing Address - Street 2:
Mailing Address - City:LUMMI ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98262-8642
Mailing Address - Country:US
Mailing Address - Phone:831-277-7959
Mailing Address - Fax:
Practice Address - Street 1:1901 S NUGENT RD
Practice Address - Street 2:
Practice Address - City:LUMMI ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98262-8642
Practice Address - Country:US
Practice Address - Phone:831-277-7959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT12556225100000X
OR5107225100000X
TX1196470225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist