Provider Demographics
NPI:1376381913
Name:LASHLEY, MARSHAE
Entity type:Individual
Prefix:
First Name:MARSHAE
Middle Name:
Last Name:LASHLEY
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 1:1965 E 6TH ST APT 303
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2271
Mailing Address - Country:US
Mailing Address - Phone:216-347-0324
Mailing Address - Fax:
Practice Address - Street 1:1965 E 6TH ST APT 303
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2271
Practice Address - Country:US
Practice Address - Phone:216-347-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH497525163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse