Healthcare Provider Details

I. General information

NPI: 1841137247
Provider Name (Legal Business Name): MR. SCOTT JAMES LASHAY I
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 W RAWSON AVE STE 132
OAK CREEK WI
53154-8422
US

IV. Provider business mailing address

3539 S 3RD ST
MILWAUKEE WI
53207-3241
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 414-335-2613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: