Individual provider · Type 1 NPI
Lauren Marie Gasso, PA-C
Medical Physician Assistant · Pontiac, MI
NPI number
1104263052
Active
Practice location
44405 Woodward Ave
Pontiac, MI 48341-5023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 5601006651 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | 5601006651 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1104263052
Lauren Marie Gasso, PA-C's National Provider Identifier is 1104263052, issued on Jun 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pontiac, MI. The record was last updated on Mar 20, 2024.