MEDICARE: DR. RONALD MYRON LAHASKY 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
1	207R00000X	Internal Medicine Physician	20878	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110077961	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487768214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD MYRON LAHASKY M.D.

Provider Business Mailing Address
First Line	:	2621 NORTH DR., STE B
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4078
Country	:	US
Telephone Number	:	337-898-1860
Fax Number	:	337-898-1862

Provider Business Practice Location Address
First Line	:	2621 NORTH DR STE B
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4042
Country	:	US
Telephone Number	:	337-898-1860
Fax Number	:	337-898-1861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	08/06/2012

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