Individual provider · Type 1 NPI

Audrey Vizzaccaro, P.A.-C.

Medical Physician Assistant · Lake Orion, MI

NPI number 1982878609 Active

Practice location

1261 South Lapeer Rd, Ste 201
Lake Orion, MI 48360

Fax (248) 814-8900

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003044 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1982878609

Audrey Vizzaccaro, P.A.-C.'s National Provider Identifier is 1982878609, issued on Apr 14, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Orion, MI. The record was last updated on Apr 14, 2008.