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

Individual provider Physician Assistant · NPI 1215348537

Lauren Mankivsky, PHYSICIANASSISTANT is a Physician Assistant in Grand Rapids, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
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Practice location Address checks out

100 Michigan St NE Ste A721
Grand Rapids, MI 49503
Phone: (616) 267-7301
Fax: (616) 391-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 267-7301
  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 267-7301

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007081 (MI)

Record details

NPI number1215348537
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 9, 2014
Last updated in NPPESAugust 28, 2018

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