LARA GAVALDON, PA
Physician Assistant
Active
Individual
NPI: 1962042796
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601009763 (MI) |
Frequently Asked Questions
NPI 1962042796 is the National Provider Identifier for LARA GAVALDON, PA, a Physician Assistant provider located in Benzonia, MI. This NPI was enumerated on January 9, 2020.
LARA GAVALDON, PA practices at 6227 FRANKFORT HWY, Benzonia, MI 49616.
Quick Facts
- NPI
- 1962042796
- Type
- Individual
- Enumerated
- Jan 9, 2020
- Last Updated
- Jun 11, 2020
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