Individual
MATTHEW JOESPH LASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E COUNTY LINE RD STE 204, GREENWOOD, IN 46143-1071
(317) 882-0535
(317) 882-0173
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
01077347A
IN
208D00000X
General Practice Physician
01077347A
IN
Other
Enumeration date
03/27/2015
Last updated
08/11/2025
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