Individual provider · Type 1 NPI

Kristin M. Lavenhagen, PA-C

Physician Assistant · Oak Creek, WI

NPI number 1154635860 Active

Practice location

331 E Puetz Rd, Lakeshore Medical Clinic
Oak Creek, WI 53154-3253

Call (414) 570-3590 Map

Mailing address

100 15th Avenue, Lakeshore Medical Clinic
South Milwaukee, WI 53172-1160

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2636-23 (WI)

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 1154635860

Kristin M. Lavenhagen, PA-C's National Provider Identifier is 1154635860, issued on Aug 5, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oak Creek, WI. The record was last updated on Sep 28, 2012.