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NPI Code Detail

MEDICARE: LAUREN ELIZABETH DE CARTERET PA-C

MEDICARE: LAUREN ELIZABETH DE CARTERET PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601013362MI

General Provider Information

NPI Number : 1245118603
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH DE CARTERET PA-C
Provider Business Mailing Address
First Line : 8440 O CONNELL RD
Second Line :
City : FENTON
State : MI
Zip : 48430-9047
Country : US
Telephone Number : 517-375-7555
Fax Number :
Provider Business Practice Location Address
First Line : 1215 E MICHIGAN AVE
Second Line :
City : LANSING
State : MI
Zip : 48912-1811
Country : US
Telephone Number : 517-364-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 12/09/2025

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Directions to “ LAUREN ELIZABETH DE CARTERET PA-C” Practice Location

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