Individual provider · Type 1 NPI

Nicole Renee Lasich

Physician Assistant · Sylvania, OH

NPI number 1124853619 Active

Practice location

5308 Harroun Rd Ste 280
Sylvania, OH 43560-2190

Mailing address

5300 Harroun Rd Ste 280
Sylvania, OH 43560-2146

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.009453RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124853619

Nicole Renee Lasich's National Provider Identifier is 1124853619, issued on Sep 4, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sylvania, OH. The record was last updated on Jun 12, 2025.