Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301066858 | MI |
N | 111NI0900X | Internist | 4301066858 | MI |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301066858 | MI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD046176 | DC |
NPI | 1053494989 |
---|---|
Provider Name | Robert W Lash |
First Address | Ann Arbor, MI 48108 |
Second Address | Washington, DC 20037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 24/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3293686 | (05) | MI |
E66153 | (02) | MI |