LORI HASELDEN PA-C
NPI 1386673960
Physician Assistant in Wyoming, MI

Q: What is Lori Haselden's NPI number?

The NPI number for Lori Haselden is 1386673960. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Lori Haselden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Haselden was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2006

2215 44TH ST SW, WYOMING, MI 49519(616) 252-8300(616) 252-8460 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2017, Feb 17, 2017, Nov 2, 2016 (3 updates tracked since 2016).

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About Lori Haselden Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI HASELDEN PA-C (NPI 1386673960) is an individual physician assistant in Wyoming, Michigan, licensed in Michigan (5601002569) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1386673960

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLORI HASELDENCredential: PA-C

Location Address2215 44TH ST SWWyoming, MI 49519-6439

Mailing Address5900 Byron Center Ave Sw, Attn: Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260

Phone(616) 252-8300

Fax(616) 252-8460

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateDecember 4, 20173 updates tracked since enumeration

✔ NPI 1386673960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601002569

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2215 44TH ST SW, Wyoming, MI 49519

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDI PAINE PAC

Physician Assistant