LARA NASSAR

Physician Assistant

Active Individual
NPI: 1780487561

Practice Address

21000 W 10 MILE RD
Southfield, MI 48075

Phone: (313) 380-0527

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5601013454 (MI)

Frequently Asked Questions

NPI 1780487561 is the National Provider Identifier for LARA NASSAR, a Physician Assistant provider located in Southfield, MI. This NPI was enumerated on March 28, 2025.
LARA NASSAR practices at 21000 W 10 MILE RD, Southfield, MI 48075.

Quick Facts

NPI
1780487561
Type
Individual
Enumerated
Mar 28, 2025
Last Updated
Dec 3, 2025

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