Provider Demographics
NPI:1295160893
Name:TOLBART, LASHON MARIE
Entity type:Individual
Prefix:
First Name:LASHON
Middle Name:MARIE
Last Name:TOLBART
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 1:10027 YELLOW CANARY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8431
Mailing Address - Country:US
Mailing Address - Phone:702-608-0044
Mailing Address - Fax:702-474-0323
Practice Address - Street 1:10027 YELLOW CANARY AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8431
Practice Address - Country:US
Practice Address - Phone:702-608-0044
Practice Address - Fax:702-474-0323
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker