MEDICARE: DR. JOSEPH GRANT LASHLEY 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	207Q00000X	Family Medicine Physician	2004-01091	NC
2	207Q00000X	Family Medicine Physician	025958	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9343059	OTHER	NC	PHCS
2	137X8	OTHER	NC	BCBS
3	56142	OTHER	NC	HCS
4	9130051	OTHER	NC	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	D5956	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1750375242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GRANT LASHLEY M.D.

Provider Business Mailing Address
First Line	:	1106 WESTMINSTER DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4546
Country	:	US
Telephone Number	:	337-303-7750
Fax Number	:	337-504-2256

Provider Business Practice Location Address
First Line	:	1 HOSPITAL ROAD
Second Line	:
City	:	CHEROKEE
State	:	NC
Zip	:	28719
Country	:	US
Telephone Number	:	828-497-9163
Fax Number	:	828-497-5504

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	10/23/2012

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