Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124853619 Individual Practitioner Female Practitioner

Nicole Renee Lasich

Physician Assistant • Sylvania, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Lasich is a certified Physician Assistant practicing in Sylvania, OH. With approximately 2 years of clinical experience since completing medical education in 2024, Nicole Lasich delivers high-quality medical care to the local community at 5308 HARROUN RD STE 280.

Nicole Lasich maintains professional affiliations with Promedica Central Physicians, Promedica Multi Specialty Physicians and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5308 Harroun Rd Ste 280

Sylvania, OH 435602190

Telephone 5675852080
Associated Practice Facility / Clinic
🏢 Promedica Health System Facility NPI 1285172163

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sylvania, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Sylvania, OH (5376 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lasich (2 Years) 2 Yrs
Sylvania Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.009453RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Promedica Central Physicians

5200 Harroun Rd, Sylvania, OH 435602168

Phone: 4198241444

Promedica Central Physicians

2901 N Reynolds Rd, Toledo, OH 43606

Phone: 4195787700

Promedica Multi Specialty Physicians

2142 N Cove Blvd, Toledo, OH 436063895

Phone: 4192911111

Promedica Central Physicians

5308 Harroun Rd, Sylvania, OH 435602190

Promedica Central Physicians

2142 N Cove Blvd, Toledo, OH 436063895

Phone: 4192914000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Kristoffer Sugg , MD, PhD

Surgery - Plastic and Reconstructive Surgery

NPI 1104029693

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Laurie Boudreaux , PA-C

Physician Assistant

NPI 1639307085

Physician Assistant (Certified)

Erin Schroeder , CNP

Nurse Practitioner

NPI 1881246353

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address June 12, 2025

Registered at 5300 HARROUN RD STE 280, SYLVANIA, OH 435602146

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2025

Physician Assistant (License #50.009453RX in OH)

📍
Updated Practice Location May 20, 2025

Registered at 5308 HARROUN RD STE 280, SYLVANIA, OH 435602190 (Tel: 5675852080)

📍
Updated Business Mailing Address May 20, 2025

Registered at 100 MADISON AVE, TOLEDO, OH 436041516

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Physician Assistant

NPI Profile Active September 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2024

Registered at 5323 HARRY HINES BLVD, DALLAS, TX 753907201 (Tel: 2146481701)

📍
Updated Business Mailing Address September 04, 2024

Registered at 1781 WAVERLY ST, TRENTON, MI 481831830 (Tel: 7346580633)

👤
Provider Name / Credentials Updated September 04, 2024

Recorded as NICOLE LASICH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124853619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2024
Last Update: June 12, 2025
Sole Proprietor: No

Mailing Address

5300 Harroun Rd Ste 280

Sylvania, OH 435602146

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.