Provider Demographics
NPI:1841252194
Name:LASHWAY, DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:LASHWAY
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 1:101 SE 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7632
Mailing Address - Country:US
Mailing Address - Phone:561-738-9761
Mailing Address - Fax:561-738-5592
Practice Address - Street 1:101 SE 27TH AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7632
Practice Address - Country:US
Practice Address - Phone:561-738-9761
Practice Address - Fax:561-738-5592
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046984207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063630400Medicaid
FL05793Medicare ID - Type Unspecified