Healthcare Provider Details

I. General information

NPI: 1447040407
Provider Name (Legal Business Name): BRENNAN LASHER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 UNDERWOOD ST
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

1335 SLIGH BLVD MP 41
ORLANDO FL
32806
US

V. Phone/Fax

Practice location:
  • Phone: 407-841-5145
  • Fax:
Mailing address:
  • Phone: 321-841-8537
  • Fax: 321-841-8537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: