Individual provider · Type 1 NPI
Laura P. Van Roo, PA-C
Medical Physician Assistant · Waunakee, WI
NPI number
1316996622
Active
Practice location
1225 Bongard Dr
Waunakee, WI 53597-2657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1355-023 (WI) |
| Physician Assistant | 363A00000X | 1355-023 (WI) |
| Surgical Physician Assistant | 363AS0400X | 1355-023 (WI) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Waunakee
About NPI 1316996622
Laura P. Van Roo, PA-C's National Provider Identifier is 1316996622, issued on May 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waunakee, WI. The record was last updated on Apr 28, 2026.