Individual
JASON C LACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023023942
MO
208000000X
Pediatrics Physician
94-11562
KS
Other
Enumeration date
04/03/2023
Last updated
08/11/2026
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