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NPI 1093826992

NPI 1093826992 : MICHAEL E LASHER DO : CAMARILLO, CA

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General NPI Number Information
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    NPI Number           |    1093826992
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL E LASHER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    11/29/2021
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Provider Practice Location Address
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    Address Line         |    5051 VERDUGO WAY SUITE 100
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93012-8680
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    Country              |    US
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    Telephone            |    805-384-8071
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    Fax                  |    805-987-1927
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Provider Business Mailing Address
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    Address Line         |    5051 VERDUGO WAY SUITE 100
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93012-8680
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    Country              |    US
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    Telephone            |    805-384-8071
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    Fax                  |    805-987-1927
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    20A8462
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    License Number State |    CA
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