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

MS. Amanda Brooke Lavin, PA-C

Individual provider Physician Assistant · NPI 1528386489

MS. Amanda Brooke Lavin, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2301 S Broad St
Philadelphia, PA 19148-3542
Phone: (215) 952-9559
Fax: (215) 952-9615
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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 MA053731 (PA)

Record details

NPI number1528386489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 17, 2010
Last updated in NPPESJanuary 2, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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