Provider Demographics
NPI:1487768214
Name:LAHASKY, RONALD MYRON (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MYRON
Last Name:LAHASKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2621 NORTH DR., STE B
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4078
Mailing Address - Country:US
Mailing Address - Phone:337-898-1860
Mailing Address - Fax:337-898-1862
Practice Address - Street 1:2621 NORTH DR STE B
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4042
Practice Address - Country:US
Practice Address - Phone:337-898-1860
Practice Address - Fax:337-898-1861
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA20878207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1964859Medicaid
LA110077961OtherRAILROAD MEDICARE
LAF45503Medicare UPIN
LA1964859Medicaid