Provider Demographics
NPI:1114174182
Name:LASHANES HAIR FASHIONS/MORE
Entity type:Organization
Organization Name:LASHANES HAIR FASHIONS/MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SALES
Authorized Official - Prefix:MS
Authorized Official - First Name:OD'ESSER
Authorized Official - Middle Name:FEEN
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-584-4785
Mailing Address - Street 1:PO BOX 2036
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-2036
Mailing Address - Country:US
Mailing Address - Phone:480-584-4785
Mailing Address - Fax:480-584-4785
Practice Address - Street 1:3154 E BAGDAD RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85243-4526
Practice Address - Country:US
Practice Address - Phone:480-584-4785
Practice Address - Fax:480-584-4785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier