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Mr. Clancy Conde Laizure, PA
Surgical Physician Assistant in Summerfield, North Carolina
NPI 1598791147

Clancy Conde Laizure is a Surgical Physician Assistant based in Summerfield, NC and is specialized in Surgical. Clancy Conde Laizure practices in Summerfield, NC and has the professional credentials of PA. The NPI Number for Clancy Conde Laizure is 1598791147 and holds a License No. 100970 (North Carolina).

The current practice location address for Clancy Conde Laizure is 7839 Spencer Brook Dr, Summerfield, NC and can be reached out via phone at 336-644-9393 and via fax at 336-644-9393.

Location: 7839 Spencer Brook Dr, Summerfield, NC, 27358-9305
person
Provider Profile Details
NPI Number
1598791147
Provider Name
Clancy Conde Laizure
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
7839 Spencer Brook Dr, Summerfield, NC, 27358-9305
Phone Number
336-644-9393
Fax Number
336-644-9393
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8935134 05 NC
institution
Provider Business Practice Location Address Details
Address
7839 Spencer Brook Dr
City
State
Zip
27358-9305
Phone Number
336-644-9393
Fax Number
336-644-9393
person
Provider Business Mailing Address Details
Address
7839 Spencer Brook Dr
City
State
Zip
27358-9305
Phone Number
336-644-9393
Fax Number
336-644-9393
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
100970 (North Carolina)
Definition
Definition to come...
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