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NPI Code Detail

MEDICARE: LISA LASHANI

MEDICARE: LISA LASHANI
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
1225100000XPhysical TherapistP21958NC

General Provider Information

NPI Number : 1740989961
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LASHANI
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 3935 BRIAN JORDAN PL STE 119
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8036
Country : US
Telephone Number : 336-885-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 02/04/2026

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Directions to “ LISA LASHANI ” Practice Location

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