Basic Information
| Provider Information | |||||||||
| NPI: | 1750375242 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LASHLEY | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | GRANT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1106 WESTMINSTER DR | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274104546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3373037750 | ||||||||
| FaxNumber: | 3375042256 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 HOSPITAL ROAD | ||||||||
| Address2: | |||||||||
| City: | CHEROKEE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284979163 | ||||||||
| FaxNumber: | 8284975504 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2005 | ||||||||
| LastUpdateDate: | 10/23/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2004-01091 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 025958 | LA | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 9343059 | 01 | NC | PHCS | OTHER | 137X8 | 01 | NC | BCBS | OTHER | 56142 | 01 | NC | HCS | OTHER | 9130051 | 01 | NC | CIGNA | OTHER | 89016F1 | 05 | NC | MEDICAID | D5956 | 01 | NC | MEDCOST | OTHER |