Lease, Larry P

Lease, Larry P is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lease, Larry P can be contacted via phone (704) 295-3000.

Contact Information

Primary practice address
6035 Fairview Rd Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 295-3468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102779 North Carolina

Profile Details

NPI number 1265400071
LBN Legal business name Lease, Larry P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265400071 NPPES
North Carolina MEDICAID 8102485
North Carolina Other 164XE
North Carolina Other 970011977
North Carolina Other 98460
North Carolina Other 833406
North Carolina MEDICAID 0944PA
North Carolina Other 7090171
North Carolina Other 412826953

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