1669564415 NPI number — MRS. DEBRA ANN LASHER CRNA

Table of content: MRS. DEBRA ANN LASHER CRNA (NPI 1669564415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669564415 NPI number — MRS. DEBRA ANN LASHER CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LASHER
Provider First Name:
DEBRA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KERR
Provider Other First Name:
DEBRA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1669564415
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 CIRCUIT DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ULM
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-354-2058
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
532 1ST ST NW
Provider Second Line Business Practice Location Address:
HANCOCK COUNTY MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
BRITT
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-843-5111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  49225 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)