LAUREN MARIE GASSO PA-C NPI 1104263052

NPI Information

NPI: 1104263052
Provider Name: LAUREN MARIE GASSO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
44405 WOODWARD AVE
PONTIAC, MI
ZIP 48341
Phone: (248) 858-6656
Get Directions

Lauren Marie Gasso, PA-C is a medical physician assistant in Pontiac, MI with 11 years of experience. Lauren Marie Gasso, PA-C NPI is 1104263052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

44405 WOODWARD AVE
PONTIAC, MI
ZIP 48341-023
Phone: (248) 858-6656

The NPI 1104263052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2013 and was last updated on 3/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		5601006651	MICHIGAN	No
2	363AM0700X	Physician Assistant	Medical	5601006651	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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