Provider Demographics
NPI:1225437791
Name:STEPHEN M. LASH
Entity type:Organization
Organization Name:STEPHEN M. LASH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LASH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-570-0812
Mailing Address - Street 1:26965 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4044
Mailing Address - Country:US
Mailing Address - Phone:440-892-9100
Mailing Address - Fax:440-892-9471
Practice Address - Street 1:26965 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4044
Practice Address - Country:US
Practice Address - Phone:440-892-9100
Practice Address - Fax:440-892-9471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty