Healthcare Provider Details

I. General information

NPI: 1396424727
Provider Name (Legal Business Name): MONICA LASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 W. BEN WHITE BLVD STE 150
AUSTIN TX
78704
US

IV. Provider business mailing address

6210 E HWY 290
AUSTIN TX
78723-1098
US

V. Phone/Fax

Practice location:
  • Phone: 737-272-0660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: