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NPI Code Detail

MEDICARE: BHRETT ALLISON LASH MD

MEDICARE: BHRETT ALLISON LASH 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
1207R00000XInternal Medicine PhysicianA76274CA

General Provider Information

NPI Number : 1568489383
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHRETT ALLISON LASH MD
Provider Business Mailing Address
First Line : 2950 INTERNATIONAL BLVD
Second Line : NATIVE AMERICAN HEALTH CENTER
City : OAKLAND
State : CA
Zip : 94601-2228
Country : US
Telephone Number : 510-535-4400
Fax Number :
Provider Business Practice Location Address
First Line : 2950 INTERNATIONAL BLVD
Second Line : NATIVE AMERICAN HEALTH CENTER
City : OAKLAND
State : CA
Zip : 94601-2228
Country : US
Telephone Number : 510-535-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 01/12/2012

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