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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLY RENAE LASURE, PA

Active Sole Proprietor

CARLY RENAE LASURE, PA is a Physician Assistant healthcare provider located in TUCSON, Arizona. NPI 1427797604 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TUCSON, AZ

Registration Details

NPI Number
1427797604
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2022 (4.2108231001797 yrs)
Last Updated
Feb 4, 2025
Licenses
9354 (AZ)
9354 (AZ)
Sole Proprietor
Yes

Practice Information

Address
350 N WILMOT RD
TUCSON, AZ, 857112602
Browse AZ providers · Browse ZIP 85711
Phone
5208733000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in TUCSON, AZ

Name Credential NPI
KENNETH H. JUDKINS II PA-C 1538165477
JENNIFER A ALLISON PA 1093712994
JUDITH M STANNARD PHYSICIAN ASSISTANT 1568460566
MR. FRANCISCO J TREJO P.A. 1508866005
MR. ROBERT L KLEEB P.A. 1386644649
BRENT E WALKER PA-C 1528069119
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.