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NPI Code Detail

MEDICARE: ASHLEY LYNN LASURE

MEDICARE:   ASHLEY LYNN LASURE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist09295MD

General Provider Information

NPI Number : 1467300855
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LYNN LASURE
Provider Business Mailing Address
First Line : 402 N SPRING ST
Second Line :
City : EVERETT
State : PA
Zip : 15537-1013
Country : US
Telephone Number : 814-515-6532
Fax Number :
Provider Business Practice Location Address
First Line : 10102 COUNTRY CLUB RD SE
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-8339
Country : US
Telephone Number : 301-777-2238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ ASHLEY LYNN LASURE ” Practice Location

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