Individual provider · Type 1 NPI

Gina Marie Lacolla, PA-C

Physician Assistant · Waterford, MI

NPI number 1497361752 Active

Practice location

1255 N Oakland Blvd
Waterford, MI 48327-1545

Call (248) 599-8999 Map

Fax (248) 406-0107

Mailing address

523 Meadowdale St
Ferndale, MI 48220-2446

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010201 (MI)

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 1497361752

Gina Marie Lacolla, PA-C's National Provider Identifier is 1497361752, issued on Sep 21, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waterford, MI. The record was last updated on Dec 26, 2024.