Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLANCY CONDE LAIZURE, PA
ActiveMR. CLANCY CONDE LAIZURE, PA is a Surgical Physician Assistant healthcare provider located in SUMMERFIELD, North Carolina. NPI 1598791147 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SUMMERFIELD, NC
Registration Details
- NPI Number
- 1598791147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2006 (20.184667049128 yrs)
- Last Updated
- Jul 8, 2007
- License
-
100970 (NC)
Practice Information
- Address
-
7839 SPENCER BROOK DRSUMMERFIELD, NC, 273589305Browse NC providers · Browse ZIP 27358
- Phone
- 3366449393
- Fax
- 3366449393
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.