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

Individual provider Registered Dietitian · NPI 1356527063

MS. Tara Lynn Lassila, PA is a Physician Assistant in Hancock, Michigan. Qualified in 2016, 10 years ago. Practices with Portage Physician Practices Inc, a 57-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2008
Specialties on file
2
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

500 Campus Dr
Hancock, MI 49930-1569
Phone: (906) 483-1000
Fax: (906) 483-1147
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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 5601007849 (MI)
Registered Dietitian Taxonomy 133V00000X · Licence TL955786

Record details

NPI number1356527063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 11, 2008
Last updated in NPPESJuly 21, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Portage Physician Practices Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hancock