Individual provider · Type 1 NPI
Lonna Petronella Van Ast, P.A.
Surgical Physician Assistant · Grand Rapids, MI
NPI number
1093028441
Active
Practice location
1022 Ada Place Dr SE
Grand Rapids, MI 49546-3786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601002990 (MI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1093028441
Lonna Petronella Van Ast, P.A.'s National Provider Identifier is 1093028441, issued on Jul 14, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 29, 2013.