Healthcare Provider Details

I. General information

NPI: 1003477407
Provider Name (Legal Business Name): MARY KATHERINE LASHER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 W 8TH ST
ERIE PA
16505-4935
US

IV. Provider business mailing address

1920 W 8TH ST
ERIE PA
16505-4935
US

V. Phone/Fax

Practice location:
  • Phone: 814-456-1097
  • Fax: 814-287-9375
Mailing address:
  • Phone: 814-456-1097
  • Fax: 814-287-9375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT019591
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS022402
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: