Individual provider Active NPI

Lauren Marino, RPA-C

  • Physician Assistant
  • Canaseraga, NY
National Provider Identifier
1790964617
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012188 Issued in NY
Practice address
12 N Church St
Canaseraga, NY 14822-9721
Phone
(607) 545-2111
Fax
(607) 545-2100
NPI assigned
Oct 27, 2007
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012188 NY Primary

Addresses

Primary practice location

12 N Church St
Canaseraga, NY 14822-9721

Mailing address

10869 State Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100

Other practice location 1

60 Red Jacket St Ste 1
Dansville, NY 14437-1769
Phone (585) 335-6041

Other identifiers 1

IdentifierTypeStateIssuer
00355257MedicaidNY

Other names 1

  • Lauren C Lafrance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000432 NY Practitioner - Physician Assistant 8426138553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12 N Church St
Canaseraga, NY 14822-9721
Phone (607) 545-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012188NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Family Medicine Program, Inc. CurrentSince Jul 30, 2012 Accepting new patients
Bruce W Mackellar MD PC PastSince Aug 8, 2009 Accepting new patients

Locations

25 Park Ave
Cohocton, NY 14826
Phone (585) 384-5310

10869 State Route 36
Dansville, NY 14437
Phone (585) 335-3100

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

60 Red Jacket St
Ste 1
Dansville, NY 14437
Phone (585) 335-6041

200 N Main St
Wayland, NY 14572
Phone (585) 728-2044

Interoperability endpoints

  • Direct secure messaging: lauren.lafrance@tfmpi.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1790964617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 STATE ROUTE 36",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379444",
            "telephone_number": "585-335-3100",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N CHURCH ST",
            "city": "CANASERAGA",
            "state": "NY",
            "postal_code": "148229721",
            "telephone_number": "607-545-2111",
            "fax_number": "607-545-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Red Jacket St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dansville",
            "state": "NY",
            "postal_code": "144371769",
            "country_code": "US",
            "telephone_number": "585-335-6041",
            "fax_number": "585-335-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "LAUREN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355257",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LAFRANCE",
            "middle_name": "C",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canaseraga, NY

Sources for this page

Verify at the official NPI Registry.