Larry P Lease in Charlotte - Physician Assistant
Larry P Lease - NPI 1265400071
Larry P Lease is a Physician Assistant in Charlotte, North Carolina. Larry P Lease practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry P Lease is 1265400071. The last update date is 2015-03-06.
Larry P Lease's current location address is 6035 Fairview Rd, Charlotte, North Carolina. You can contact this provider via phone number 7042953000 and fax number 7042953468. The mailing address for Larry P Lease is 6035 Fairview Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry P Lease |
|---|---|
| Address | 6035 Fairview Rd, Charlotte, North Carolina |
| Phone Number | 7042953000 |
| Fax Number | 7042953468 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1265400071 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2015-03-06 |
Provider Mailing Address Detail
| Address | 6035 Fairview Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282103256 |
| Phone Number | 7042953000 |
| Fax Number | 7042953468 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102779 |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8102485 | NC | -- | |
| 164XE | NC | BCBSNC | |
| 970011977 | NC | RAILROAD MEDICARE | |
| 98460 | NC | MEDCOST | |
| 833406 | SC | WELLCARE OF SC | |
| 0944PA | SC | -- | |
| 7090171 | NC | AETNA | |
| 412826953 | NC | TRICARE FOR LIFE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry P Lease by the Centers for Medicare & Medicaid Services?
The Larry P Lease has been assigned the NPI (National Provider Identifier) 1265400071 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Larry P Lease is geographically located?
The Larry P Lease is physically situated at the following location: 6035 Fairview Rd, Charlotte, NC, 282103256.
What is Larry P Lease's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry P Lease is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265400071 to Larry P Lease?
The Centers for Medicare & Medicaid Services originally issued the 1265400071 to Larry P Lease on 2006-03-08.
As of what date was the information regarding Larry P Lease, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry P Lease, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-06.