DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARA GAVALDON, PA

Active

LARA GAVALDON, PA is a Physician Assistant healthcare provider located in BENZONIA, Michigan. NPI 1962042796 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BENZONIA, MI

Registration Details

NPI Number
1962042796
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2020 (6.4141523184092 yrs)
Last Updated
Jun 11, 2020
License
5601009763 (MI)

Practice Information

Address
6227 FRANKFORT HWY
BENZONIA, MI, 496168632
Browse MI providers · Browse ZIP 49616
Phone
2318829661
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BENZONIA, MI

Name Credential NPI
LINDSEY BANKTSON PA 1447759097
CHRISTOPHER LANINGA PA-C 1508481235
MR. JAY GILLESPIE 1669064846
MR. KEVIN ROSENBROOK 1073243515
ERIN RUBECK PA 1750007845
TYLER JAMES LAROY WILLIAMS PHYSICIAN ASSOCIATE 1841051463
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.