Provider Demographics
NPI:1972635803
Name:LASHER, RICK K (MD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:K
Last Name:LASHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1527
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-1527
Mailing Address - Country:US
Mailing Address - Phone:217-342-3218
Mailing Address - Fax:217-342-3226
Practice Address - Street 1:813 N 3RD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-3181
Practice Address - Country:US
Practice Address - Phone:217-342-3218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-099905207RS0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH00102Medicare UPIN
IL650050Medicare ID - Type Unspecified