Mr. Randy Wayne Lasut Jr., CRNPFNP-C
Mr. Randy Wayne Lasut Jr., CRNPFNP-C is a Nurse Practitioner in New Paris, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Orchard Valley Physician Services PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 3
- Licensed in
- PA
- In the registry since
- 2024
Practice location Address checks out
4186 Cortland DrNew Paris, PA 15554-7706
Phone: (814) 839-4108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence SP029010 (PA) |
|---|
Record details
| NPI number | 1063282994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNPFNP-C |
| Sole proprietor | No |
| NPI enumerated | January 2, 2024 |
| Last updated in NPPES | July 30, 2024 |
| Certification date | July 30, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Orchard Valley Physician Services Pllc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in New Paris
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Mrs. Christine Renee Brocious, FNP-C
4186 Cortland Dr, New Paris, PA 15554-7706 · (814) 839-4108
-
Brittany Cogan, FNP-C
4186 Cortland Dr, New Paris, PA 15554-7706 · (814) 839-4108
-
Alaina Royanne Heeter, CRNP
4186 Cortland Dr, New Paris, PA 15554-7706 · (814) 839-4108