Healthcare Provider Details

I. General information

NPI: 1518295765
Provider Name (Legal Business Name): AARON JACOB LAHASKY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2009
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 SE GREENVILLE AVE
WINCHESTER IN
47394-9436
US

IV. Provider business mailing address

63 COLLEEN CT
BATON ROUGE LA
70808-9061
US

V. Phone/Fax

Practice location:
  • Phone: 765-584-0339
  • Fax: 765-584-0102
Mailing address:
  • Phone: 337-519-3154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN121957
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number083157
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: