Individual
DR. DUSTIN LASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P0845
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO.1478
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
P0845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169149
—
AL
01
—
511-58601
BCBS OF ALABAMA
AL
Enumeration date
06/10/2009
Last updated
10/25/2023
Update your record
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