Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 90-182235-1205 | UT |
NPI | 1447228572 |
---|---|
Provider Name | Stephen D Lash |
First Address | Salt Lake City, UT 84102-1501 |
Second Address | Salt Lake City, UT 84102-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 19/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E70084 | (02) | UT |