Doctor Name: | DR. LISA LASHUK |
NPI Number: | 1386767374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., PH.D. |
License Number: | 2500 |
Business Practice Address: | 15301 Warren Shingle Rd Beale Afb, CA - 959031907 |
Business Phone Number: | 9196360087 |
Business Fax Number: | |
Mailing Address: | 15301 Warren Shingle Rd, BEALE AFB |
State: | CA |
Postal Code: | 959031907 |
Phone Number: | 9196360087 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |