Individual
EDWIN RAY LASHLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL HOSPITAL, 3600 RIVERS AVE, N. CHARLESTON, SC 29405
(843) 743-7214
Mailing address
34 PULASKI ST, GOOSE CREEK, SC 29445-6153
(843) 209-6949
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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