Individual provider · Type 1 NPI

Lora Commissaris, PA

Physician Assistant · Wayland, MI

NPI number 1790387835 Active

Practice location

12851 W M 179 Hwy
Wayland, MI 49348-9318

Mailing address

100 Michigan St NE
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010293 (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 1790387835

Lora Commissaris, PA's National Provider Identifier is 1790387835, issued on Nov 13, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wayland, MI. The record was last updated on Jul 5, 2022.