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NPI Code Detail

MEDICARE: MR. FLOYD J LASHLEY JR. MD

MEDICARE:  MR. FLOYD J LASHLEY JR. MD
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
1207Q00000XFamily Medicine Physician7637OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467438788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FLOYD J LASHLEY JR. MD
Provider Business Mailing Address
First Line : 402 N BROADWAY ST
Second Line :
City : WALTERS
State : OK
Zip : 73572-1230
Country : US
Telephone Number : 580-875-6212
Fax Number : 580-875-6221
Provider Business Practice Location Address
First Line : 402 N BROADWAY
Second Line :
City : WALTERS
State : OK
Zip : 73572
Country : US
Telephone Number : 580-875-3347
Fax Number : 580-875-2978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 11/06/2014

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Directions to “ MR. FLOYD J LASHLEY JR. MD” Practice Location

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