| Doctor Name: | MEREDITH M LAHEY |
| NPI Number: | 1093095028 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP, CPNP-AC |
| License Number: | 20059 |
| Business Practice Address: | 77 Paseo Mirasol Tiburon, CA - 949202079 |
| Business Phone Number: | 4156865214 |
| Business Fax Number: | |
| Mailing Address: | 77 Paseo Mirasol, TIBURON |
| State: | CA |
| Postal Code: | 949202079 |
| Phone Number: | 4156865214 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2011 |
| NPI Last Update Date: | 08/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0222X |
| License Number: | 20059 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics, Critical Care |
| Taxonomy Definition: | |