Clancy Conde Laizure in Summerfield - Surgical

Clancy Conde Laizure - NPI 1598791147

Clancy Conde Laizure is a Surgical in Summerfield, North Carolina. Clancy Conde Laizure practices all healthcare services and medical treatments related to Surgical. The NPI Number for Clancy Conde Laizure is 1598791147. The last update date is 2007-07-08.

Clancy Conde Laizure's current location address is 7839 Spencer Brook Dr, Summerfield, North Carolina. You can contact this provider via phone number 3366449393 and fax number 3366449393. The mailing address for Clancy Conde Laizure is 7839 Spencer Brook Dr, Summerfield, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Clancy Conde Laizure
Address 7839 Spencer Brook Dr, Summerfield, North Carolina
Phone Number 3366449393
Fax Number 3366449393
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1598791147
Provider Enumeration Date 2006-06-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7839 Spencer Brook Dr
City Summerfield
State North Carolina (NC)
Post Code 273589305
Phone Number 3366449393
Fax Number 3366449393

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 100970
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8935134 NC --

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FAQs about Clancy Conde Laizure

What is the unique 10-digit identifier code issued to Clancy Conde Laizure by the Centers for Medicare & Medicaid Services?

The Clancy Conde Laizure has been assigned the NPI (National Provider Identifier) 1598791147 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Clancy Conde Laizure?

The Clancy Conde Laizure is physically situated at 7839 Spencer Brook Dr, in the city of Summerfield, state of NC, with the postal code 273589305.

What is Clancy Conde Laizure'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 Clancy Conde Laizure is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.

When did Clancy Conde Laizure receive its 1598791147 assignment?

The Clancy Conde Laizure was assigned its 1598791147 on 2006-06-24, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Clancy Conde Laizure last refreshed?

The information related to the Clancy Conde Laizure, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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