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NPI Code Detail

MEDICARE: DR. RAY LASH M.D.

MEDICARE:  DR. RAY  LASH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianR8040MO

General Provider Information

NPI Number : 1376799239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAY LASH M.D.
Provider Business Mailing Address
First Line : 2431 N GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-1018
Country : US
Telephone Number : 314-652-9231
Fax Number : 314-533-5430
Provider Business Practice Location Address
First Line : 2431 N GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-1018
Country : US
Telephone Number : 314-652-9231
Fax Number : 314-533-5430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 08/12/2008

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Directions to “ DR. RAY LASH M.D.” Practice Location

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