Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lara Ashley East Laneve, PA-C

Individual provider Physician Assistant · NPI 1992802912

Lara Ashley East Laneve, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2006, 20 years ago. Practices with First Coast Dermatology P A, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4479 Baymeadows Rd
Jacksonville, FL 32217-4716
Phone: (904) 731-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103914 (FL)

Record details

NPI number1992802912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 6, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice First Coast Dermatology P A — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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