Provider Demographics
NPI:1174958532
Name:LASHMAN, KAYCEE LYNN
Entity type:Individual
Prefix:
First Name:KAYCEE
Middle Name:LYNN
Last Name:LASHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAYCEE
Other - Middle Name:LYNN
Other - Last Name:LASHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYW 2 WEST
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-3527
Mailing Address - Country:US
Mailing Address - Phone:701-665-2200
Mailing Address - Fax:701-665-2300
Practice Address - Street 1:200 HWY 2 WEST
Practice Address - Street 2:
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-3527
Practice Address - Country:US
Practice Address - Phone:701-665-2200
Practice Address - Fax:701-665-2300
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator