Individual
AMY JENELLE LASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5427
(850) 205-6232
(850) 402-9130
Mailing address
PO BOX 13859, TALLAHASSEE, FL 32317-3859
(850) 877-4134
(850) 402-9130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9108741
FL
Other
Enumeration date
06/08/2015
Last updated
03/13/2019
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