MEDICARE: JOHNNETTE LASH

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
1	163WS0200X	School Registered Nurse	RN.328908	OH

General Provider Information

NPI Number	:	1720933286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNNETTE LASH

Provider Business Mailing Address
First Line	:	355 N LIBERTY ST
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-1229
Country	:	US
Telephone Number	:	614-582-4360
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 N LIBERTY ST
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-1229
Country	:	US
Telephone Number	:	740-833-1356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ JOHNNETTE LASH ” Practice Location

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