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Cody Michael Lawnichak (PA-C)

Mr. Cody Michael Lawnichak (PA-C) is a health care provider specializes in Physician Assistant. He is associated with medical group practice THUNDER BAY COMMUNITY HEALTH SERVICE INC and is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 205 S Bradley Hwy, Rogers City, MI 49779-2137, US
Practice Location Phone989-734-2052
Practice Location Fax989-734-7390
GenderMale
Specialty InPhysician Assistant
Medical SchoolOther
Graduation Year2014
NPI ?1992112346
PECOS ID9537388210
Enrollment IDI20140910002433
Entity TypeIndividual
Enumeration Date ? Jul 17, 2014
Last Update Date ? Jan 12, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Cody Michael Lawnichak

SpecialtySpecializationLicenseLicense State
Physician Assistant 5601007061Michigan

Medicare-icon Medicare Participation of Cody Michael Lawnichak

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Cody Michael Lawnichak

Medical Group PracticeThunder Bay Community Health Service Inc
Affiliation 1 Otsego Memorial Hospital
Affiliation 2 Midmichgan Medical Center - Alpena

legacy-id-icon Legacy Provider IDs of Cody Michael Lawnichak

Provider IdIssuer StateIssuer TypeIssuer
PENDINGMichiganMedicare Pin