Provider Demographics
NPI:1487403820
Name:HILL, LASHE (EMT-B)
Entity type:Individual
Prefix:
First Name:LASHE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5088 AUDREY AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5719
Mailing Address - Country:US
Mailing Address - Phone:260-564-3926
Mailing Address - Fax:
Practice Address - Street 1:1601 LAW LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47408-2109
Practice Address - Country:US
Practice Address - Phone:812-855-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic