Individual
DOMINIQUE LASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5800 MONROE ST BLDG A, SYLVANIA, OH 43560-2263
(419) 885-8449
(419) 882-7621
Mailing address
5800 MONROE ST BLDG A, SYLVANIA, OH 43560-2263
(419) 885-8449
(419) 882-7621
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35092213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110742
—
IL
01
—
1633786
BLUE SHIELD NUMBER
IL
Enumeration date
03/29/2006
Last updated
07/21/2022
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