Healthcare Provider Details

I. General information

NPI: 1851313886
Provider Name (Legal Business Name): JOANNE PATRICIA LASHLEY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 EIGHT AVENUE 3RD FLOOR MEDICAL
NEW YORK NY
10018
US

IV. Provider business mailing address

540 MAIN STREET 452
NEW YORK NY
10044
US

V. Phone/Fax

Practice location:
  • Phone: 212-904-1500
  • Fax: 212-904-1444
Mailing address:
  • Phone: 212-223-9162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number2581521
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: