Provider Demographics
NPI:1982249322
Name:LASHLEY, JOSEPH LERAY (RADT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LERAY
Last Name:LASHLEY
Suffix:
Gender:M
Credentials:RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 E TAHQUITZ CANYON WAY STE 14
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6773
Mailing Address - Country:US
Mailing Address - Phone:760-851-5690
Mailing Address - Fax:442-268-9117
Practice Address - Street 1:707 E TAHQUITZ CANYON WAY STE 14
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6773
Practice Address - Country:US
Practice Address - Phone:760-851-5690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1333830119171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator