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

Lora Rose Hansen, PA

Individual provider Physician Assistant · NPI 1245630698

Lora Rose Hansen, PA is a Physician Assistant in Lakeview, Michigan. Qualified in 2014, 12 years ago. Practices with Cherry Street Services Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
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

418 Washington St
Lakeview, MI 48850-7102
Phone: (989) 352-6474
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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 5601007082 (MI)

Record details

NPI number1245630698
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 3, 2014
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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