National Provider Identifier

Lauren Marie Devito, PA

Lauren Marie Devito, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Fairport, NY and a listed phone number of (585) 469-9969.

NPI 1083217947Fairport, NYPhysician Assistant

Profile Overview

NPI
1083217947
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 20, 2020
Last Updated
November 20, 2020

Practice Location

  • 43 Chadwick Mnr
  • Fairport, NY 14450-8820

Phone: (585) 469-9969

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1083217947
Entity Type
Individual
Last Name
Devito
First Name
Lauren
Middle Name
Marie
Name Prefix
MS.
Credential
PA
Mailing Street Address
43 Chadwick Mnr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-8820
Mailing Country
US
Mailing Phone
(585) 469-9969
Practice Street Address
43 Chadwick Mnr
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-8820
Practice Country
US
Practice Phone
(585) 469-9969
Enumeration Date
November 20, 2020
Last Updated
November 20, 2020
Sex
Female
Sole Proprietor
No
Certification Date
November 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)