Lara Gavaldon, PA

NPI #1962042796 in Benzonia, Michigan

Provider Information

NPI Number: 1962042796
Entity Type: Individual
Name: Lara Gavaldon, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 9, 2020
Last Updated: Jun 11, 2020

Practice Location

Address: 6227 FRANKFORT HWY
City: Benzonia
State: Michigan
ZIP Code: 49616-8632
Phone: (231) 882-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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