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

Lauren Goedtel, PAC

Individual provider Physician Assistant · NPI 1104255496

Lauren Goedtel, PAC is a Physician Assistant in Troy, Michigan. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

44199 Dequindre Rd Ste G-10
Troy, MI 48085-1166
Phone: (248) 964-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 — (248) 288-4500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006722 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601006722 (MI)

Record details

NPI number1104255496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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