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

MRS. AUDREY VIZZACCARO, P.A.-C.

Active Sole Proprietor

MRS. AUDREY VIZZACCARO, P.A.-C. is a Medical Physician Assistant healthcare provider located in LAKE ORION, Michigan. NPI 1982878609 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAKE ORION, MI

Registration Details

NPI Number
1982878609
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2008 (18.320966885704 yrs)
Last Updated
Apr 14, 2008
License
5601003044 (MI)
Sole Proprietor
Yes

Practice Information

Address
1261 SOUTH LAPEER RD
STE 201
LAKE ORION, MI, 48360
Browse MI providers · Browse ZIP 48360
Phone
2488147546
Fax
2488148900
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in LAKE ORION, MI

Name Credential NPI
MELISSA LUKENS DRALLOS PA 1407895634
JEFFREY T DENIO PA-C 1053567669
KAITLYN HALEY BACKING PA 1770018269
MRS. BRIDGET BETH-OBRIEN WILLE PA-C 1326563883
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.