| Michelle Laksana, PA-C | |
|
16465 Sierra Lakes Pkwy, Ste. 300, Fontana, CA 92336-1242 | |
| (909) 429-2864 | |
| Not Available |
| Full Name | Michelle Laksana |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 16465 Sierra Lakes Pkwy, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851709414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 51795 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Laksana, PA-C 16465 Sierra Lakes Pkwy, Ste. 300, Fontana, CA 92336-1242 Ph: (909) 429-2864 | Michelle Laksana, PA-C 16465 Sierra Lakes Pkwy, Ste. 300, Fontana, CA 92336-1242 Ph: (909) 429-2864 |
Maralee Shadle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Ms. Cindy Ellen Tetzlaff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10650 Sierra Ave Ste B, Fontana, CA 92337 Phone: 909-550-3320 | |
Randall D Sellon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Christopher Blanchfield, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Giuliana Cilliani, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy Ste 300, Fontana, CA 92336 Phone: 909-429-2864 | |
Vanessa M Michelena Basantes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4904 Tahan Way, Fontana, CA 92336 Phone: 909-561-5032 | |
Ann Marciano, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5481 Tenderfoot Dr, Fontana, CA 92336 Phone: 909-239-2818 |