Individual provider · Type 1 NPI

Lauren Goedtel, PAC

Medical Physician Assistant · Troy, MI

NPI number 1104255496 Active

Practice location

44199 Dequindre Rd Ste G-10
Troy, MI 48085-1166

Call (248) 964-6111 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 3577 W 13 Mile Rd, Ste 103, Royal Oak, MI 48073-6710 · (248) 288-4500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601006722 (MI)
Medical Physician Assistant Primary 363AM0700X5601006722 (MI)

Medical Physician Assistant: Definition to come...

3 other providers at this address

Other medical physician assistant providers in Troy

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About NPI 1104255496

Lauren Goedtel, PAC's National Provider Identifier is 1104255496, issued on Nov 6, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Troy, MI. The record was last updated on Jul 1, 2026.