Nicholas J Lauria, PA
Physician Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1477527166
StatusActive
Last updated in NPPESNov 2, 2011
Details
- NPI
- 1477527166
- Entity type
- Individual (NPI-1)
- Name
- Nicholas J Lauria
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2006
- Last updated
- Nov 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601004506 | MI | Yes |
Practice location
100 Michigan St NeGrand Rapids, MI 49503-2560
Phone 616-391-1680
Mailing address
2537 Momentum PlChicago, IL 60689-5325
Phone 616-975-1845 · Fax 616-285-0846
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