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

Lauren R Haskin, PA

Individual provider Medical Physician Assistant · NPI 1104293646

Lauren R Haskin, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
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

3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone: (616) 363-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 — (989) 422-5122

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601007509 (MI)

Record details

NPI number1104293646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 1, 2015
Last updated in NPPESOctober 4, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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