Provider Demographics
NPI:1750375242
Name:LASHLEY, JOSEPH GRANT (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GRANT
Last Name:LASHLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1106 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4546
Mailing Address - Country:US
Mailing Address - Phone:337-303-7750
Mailing Address - Fax:337-504-2256
Practice Address - Street 1:1 HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719
Practice Address - Country:US
Practice Address - Phone:828-497-9163
Practice Address - Fax:828-497-5504
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2004-01091207Q00000X
LA025958207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC9343059OtherPHCS
NC137X8OtherBCBS
NC56142OtherHCS
NC9130051OtherCIGNA
NC89016F1Medicaid
NCD5956OtherMEDCOST
NCI17980Medicare UPIN
NC89016F1Medicaid