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Individual

JAMES ROBERT LASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442
(928) 763-2273
(928) 704-6781
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2493
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102202
AZ
Enumeration date
05/03/2006
Last updated
05/09/2008
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