Lori Haselden in Wyoming - Physician Assistant
Lori Haselden - NPI 1386673960
Lori Haselden is a Physician Assistant in Wyoming, Michigan. Lori Haselden practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lori Haselden is 1386673960. The last update date is 2017-12-04.
Lori Haselden's current location address is 2215 44th St Sw, Wyoming, Michigan. You can contact this provider via phone number 6162528300 and fax number 6162528460. The mailing address for Lori Haselden is 2215 44th St Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Haselden |
|---|---|
| Address | 2215 44th St Sw, Wyoming, Michigan |
| Phone Number | 6162528300 |
| Fax Number | 6162528460 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1386673960 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2017-12-04 |
Provider Mailing Address Detail
| Address | 2215 44th St Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 4951964390 |
| Phone Number | 6162528300 |
| Fax Number | 6162528460 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002569 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Lori Haselden by the Centers for Medicare & Medicaid Services?
The Lori Haselden has been issued the NPI (National Provider Identifier) 1386673960. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lori Haselden's physical address?
The Lori Haselden is physically located at 2215 44Th St Sw, in the city of Wyoming, MI, with the postal code 4951964390.
What is the Lori Haselden's area of specialization and corresponding taxonomy classification?
The Lori Haselden's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lori Haselden receive its 1386673960 assignment from the Centers for Medicare & Medicaid Services?
The Lori Haselden was assigned its 1386673960 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date were the Lori Haselden's details last updated?
The information pertaining to the Lori Haselden, including its address, specialty, and other details, was most recently updated on 2017-12-04.
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