Provider Demographics
NPI:1790048437
Name:LASHNER, MICHAEL ANDREW (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANDREW
Last Name:LASHNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:207 N BROAD ST FL 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1500
Mailing Address - Country:US
Mailing Address - Phone:610-565-2100
Mailing Address - Fax:610-892-0626
Practice Address - Street 1:53 W BALTIMORE PIKE STE 100
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5641
Practice Address - Country:US
Practice Address - Phone:610-565-2100
Practice Address - Fax:610-892-0626
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2025-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS017760207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034807430004Medicaid
PA1034807430007Medicaid