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

Lara M Davis, PA

Individual provider Physician Assistant · NPI 1740364124

Lara M Davis, PA is a Physician Assistant in Grand Blanc, Michigan. Qualified in 2002, 24 years ago. Practices with Genesys Practice Partners Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3452 Genesys Pkwy
Grand Blanc, MI 48439-7334
Phone: (810) 606-7550
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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 5601005217 (MI)

Record details

NPI number1740364124
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address3452 Genesys Pkwy, Grand Blanc, MI 48439-7334

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Genesys Practice Partners Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Blanc