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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356939144

Kaitlin Deslauriers is a Physician Assistant in Lillington, North Carolina. Qualified in 2021, 5 years ago. Practices with Imperial Center Family Medicine and Immediate Care PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

4350 US 421 S
Lillington, NC 27546-6760
Phone: (910) 893-1210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356939144
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Imperial Center Family Medicine And Immediate Care Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lillington