Provider Demographics
NPI:1730890658
Name:LASH HEALTHCARE ASSOCIATION, LLC
Entity type:Organization
Organization Name:LASH HEALTHCARE ASSOCIATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-205-8537
Mailing Address - Street 1:25501 W VALLEY PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8416
Mailing Address - Country:US
Mailing Address - Phone:816-552-5600
Mailing Address - Fax:816-552-5601
Practice Address - Street 1:25501 W VALLEY PKWY STE 150
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-8416
Practice Address - Country:US
Practice Address - Phone:816-552-5600
Practice Address - Fax:816-552-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health