Individual provider Active NPI

Lauren Sloane Lasker, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1922383470
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059792 Issued in PA
Practice address
3400 Civic Center Blvd
Penn Perelman 7 South Pavilion, Div of Gi/Hepatology
Philadelphia, PA 19104-5127
Phone
(215) 349-8222
Fax
(215) 349-5915
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 MA059792 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
Penn Perelman 7 South Pavilion, Div of Gi/Hepatology
Philadelphia, PA 19104-5127

Mailing address

3400 Civic Center Blvd
Penn Perelman 7 South Pavilion, Div of Gi/Hepatology
Philadelphia, PA 19104-5127
Phone (215) 349-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181203001615 PA Practitioner - Physician Assistant 0143461236 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059792PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince Aug 2, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 2, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 5, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 10, 2024 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Nov 5, 2015 Accepting new patients
University of Penn - Medical Group CurrentSince Jun 10, 2024 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

3400 Civic Center Blvd
#2W
Philadelphia, PA 19104
Phone (215) 614-1618

PO B0x 824320
Philadelphia, PA 19182

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1922383470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "PENN PERELMAN 7 SOUTH PAVILION, DIV OF GI/HEPATOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-349-8222",
            "fax_number": "215-349-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "PENN PERELMAN 7 SOUTH PAVILION, DIV OF GI/HEPATOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-349-8222",
            "fax_number": "215-349-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKER",
        "first_name": "LAUREN",
        "middle_name": "SLOANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.