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

Lara Gavaldon, PA

Individual provider Physician Assistant · NPI 1962042796

Lara Gavaldon, PA is a Physician Assistant in Benzonia, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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 →

Practice location Address checks out

6227 Frankfort Hwy
Benzonia, MI 49616-8632
Phone: (231) 882-9661
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009763 (MI)

Record details

NPI number1962042796
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020

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