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NPI Code Detail

MEDICARE: LASHER SPORT

MEDICARE: LASHER SPORT
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
1332B00000XDurable Medical Equipment & Medical Supplies2000248-031-170NV

General Provider Information

NPI Number : 1750824371
Entity Type Code : Organization
Provider Name (Legal Business Name) : LASHER SPORT
Provider Business Mailing Address
First Line : 5720 ARVILLE ST
Second Line : STE 105
City : LAS VEGAS
State : NV
Zip : 89118-3036
Country : US
Telephone Number : 907-529-8833
Fax Number :
Provider Business Practice Location Address
First Line : 5720 ARVILLE ST
Second Line : STE 105
City : LAS VEGAS
State : NV
Zip : 89118-3036
Country : US
Telephone Number : 907-529-8833
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : MR. WILLIAM LASHER
Credential :
Telephone Number : 907-229-5274
Provider Enumeration Date : 11/30/2016
Last Update Date : 11/30/2016

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Directions to “LASHER SPORT ” Practice Location

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