Provider Demographics
NPI:1942571989
Name:LASH, CHRISTOPHER KEITH
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KEITH
Last Name:LASH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4157
Mailing Address - Country:US
Mailing Address - Phone:904-373-4144
Mailing Address - Fax:
Practice Address - Street 1:217 MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4157
Practice Address - Country:US
Practice Address - Phone:904-373-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner