Provider Demographics
NPI:1073326831
Name:LASHGARI, LEYLA
Entity type:Individual
Prefix:
First Name:LEYLA
Middle Name:
Last Name:LASHGARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 W HOLYOKE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-4562
Mailing Address - Country:US
Mailing Address - Phone:509-263-8143
Mailing Address - Fax:509-315-5866
Practice Address - Street 1:2809 W HOLYOKE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-4562
Practice Address - Country:US
Practice Address - Phone:509-263-8143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60282059163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty