Individual
DR. MARC LASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 E MERRICK RD, VALLEY STREAM, NY 11580-5925
(516) 825-3030
Mailing address
986 CLARK PL, WOODMERE, NY 11598-1429
(516) 295-9283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
174891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01627196
—
NY
Enumeration date
06/12/2006
Last updated
09/10/2008
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