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Individual

MR. COLBY D LASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.C.

Contact information

Practice address
1401 PRESQUE ISLE AVE, MARQUETTE, MI 49855-5305
(906) 227-2665
(906) 227-2848
Mailing address
1027 N 4TH ST, MARQUETTE, MI 49855-3412
(970) 261-0528
(906) 227-2848

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/01/2010
Last updated
03/01/2010
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