Individual
MR. MICHAEL JOSEPH LASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 679-1999
Mailing address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 234-7654
(864) 675-1657
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1191
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8157
MEDICARE PTAN
SC
Enumeration date
01/31/2007
Last updated
11/13/2024
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