MR. CLANCY CONDE LAIZURE (NPI# 1598791147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598791147 |
| Entity Type | Individual |
| Full Name | MR. CLANCY CONDE LAIZURE |
| Credential | PA |
| Practice Address |
7839 Spencer Brook Dr Summerfield NC 27358-9305 |
| Practice Telephone | 3366449393 |
| Practice Fax Number | 3366449393 |
| Mailing Telephone | 3366449393 |
| Mailing Fax Number | 3366449393 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
100970 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8935134 | 05 |
| Street Address |
7839 SPENCER BROOK DR |
| City | SUMMERFIELD |
| State | NC |
| Zip Code | 27358-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574827 | Moses Cone Physician Services, Inc. | Family Medicine | 4446 Us Highway 220 North, Suite A, Summerfield, NC 27358 | 2016-09-01 |
| 1639457344 | Kathy M Cornelius | Pharmacist | 4601 Us Hwy 220 N, Summerfield, NC 27358 | 2011-07-29 |
| 1043405459 | Lake Brandt Pharmacy Inc | Pharmacy | 1007 E Hwy 150 West, Summerfield, NC 27358 | 2007-09-10 |
| 1417176421 | Veronica Chavez Tart | Speech-Language Pathologist | 7098 Toscana Trce, Summerfield, NC 27358 | 2007-04-25 |
| 1518069921 | Kay Skow | Physical Therapist | 4446 A Us Hwy 220 North, Summerfield, NC 27358 | 2006-09-05 |
| 1043355639 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 2600 Pleasant Ridge Rd, Summerfield, NC 27358-7202 | 2007-02-21 |
| 1396031076 | John Richard White Jr. | Pharmacist | 6900 Bronco Ln, Summerfield, NC 27358-7800 | 2011-06-22 |
| 1073644589 | Michelle Marie Lesperance | Specialist/Technologist | 5401 Broadleaf Rd, Summerfield, NC 27358-7825 | 2007-03-08 |
| 1215158241 | Gregory Scott Barham | Pharmacist | 3325 Annry Dr, Summerfield, NC 27358-7906 | 2007-05-01 |
| 1396941886 | Monica Sparks Benfield | Pharmacist | 1007 Nc Highway 150 W Ste E, Summerfield, NC 27358-7925 | 2007-06-22 |
| Find all providers in zip 27358 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972786358 | Eniola Ayoola | Physician Assistant | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2007-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERFIELD |
| Zip Code | 27358 |
Please comment or provide details below to improve the information on MR. CLANCY CONDE LAIZURE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.