Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Lawlor, PA

Individual provider Physician Assistant · NPI 1679163075

Benjamin Lawlor, PA is a Physician Assistant in Redford, Michigan. Graduated from Nova Southeastern College of Osteo Medicine in 2020, 6 years ago. Practices with Kau Hospital, a 135-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
6
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
HI
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14671 Telegraph Rd
Redford, MI 48239-3300
Phone: (313) 948-3030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-1274 (HI)

Record details

NPI number1679163075
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address14671 Telegraph Rd, Redford, MI 48239-3300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Kau Hospital — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Redford