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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013452622

Larae Tymochko, PA-C is a Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania. Licensed in Ohio and Pennsylvania. Registered with an NPI since 2017.

Licensed in
OH, PA
In the registry since
2017
Specialties on file
3
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

2315 Myrtle St Ste 160
Erie, PA 16502-4602
Phone: (814) 456-9197
Fax: (814) 455-2765
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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 MA060474 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.005833RX (OH)

Record details

NPI number1013452622
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address2315 Myrtle St Ste 160, Erie, PA 16502-4602

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