Dr. Bonnie Laine Lasher, DPT
Clinic/Center, Physical Therapy in Dana Point, CA. Individual provider (NPI-1).
NPI number1053928697
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1053928697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bonnie Laine Lasher
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 294619 | CA | Yes |
Practice location
33772 Copper Lantern St Apt CDana Point, CA 92629-6427
Phone 619-988-7612
Mailing address
34145 Pacific Coast Hwy # 116Dana Point, CA 92629-2808
Phone 619-988-7612
Is something wrong?
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