Lasley, Micah

Lasley, Micah is an individual health care provider with primary practice located at 4029 Northwest Ave Ste 301 , Bellingham WA 98226-9077. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Lasley, Micah can be contacted via phone (360) 752-0518.

Contact Information

Primary practice address
4029 Northwest Ave Ste 301 Bellingham WA 98226-9077
Phone: (360) 752-0518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5224 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60509731 Washington

Profile Details

NPI number 1225381130
LBN Legal business name Lasley, Micah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Mar 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225381130 NPPES
Washington Other 60509731 WA STATE PA LICENSE

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