MEDICARE: LAUREN ALEXANDRA PASQUINELLI 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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1952289001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ALEXANDRA PASQUINELLI PA-C

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-6200
Fax Number	:	513-245-3672

Provider Business Practice Location Address
First Line	:	5280 BEECHMONT AVE UNIT 3164
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2512
Country	:	US
Telephone Number	:	724-914-5073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	10/06/2025

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Directions to “ LAUREN ALEXANDRA PASQUINELLI PA-C” Practice Location

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