Provider Demographics
NPI:1215050414
Name:LA FLASH, RONALD M (MS)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:M
Last Name:LA FLASH
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
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Mailing Address - Street 1:99 TOPEKA ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2717
Mailing Address - Country:US
Mailing Address - Phone:617-442-1499
Mailing Address - Fax:617-442-1660
Practice Address - Street 1:99 TOPEKA ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2717
Practice Address - Country:US
Practice Address - Phone:617-442-1499
Practice Address - Fax:617-442-1660
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)