| Mr Larry P Lease, PA | |
|
6035 Fairview Rd, Charlotte, NC 28210-3256 | |
| (704) 295-3000 | |
| (704) 295-3468 |
| Full Name | Mr Larry P Lease |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6035 Fairview Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265400071 | NPI | - | NPPES |
| 8102485 | Medicaid | NC | |
| 164XE | Other | NC | BCBSNC |
| 970011977 | Other | NC | RAILROAD MEDICARE |
| 98460 | Other | NC | MEDCOST |
| 833406 | Other | SC | WELLCARE OF SC |
| 0944PA | Medicaid | SC | |
| 7090171 | Other | NC | AETNA |
| 412826953 | Other | NC | TRICARE FOR LIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 102779 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry P Lease, PA 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Mr Larry P Lease, PA 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 | |
Kierney Elizabeth Jackson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255 Fax: 704-446-1276 | |
Christian Sung, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Suite 300 - Adult Cardiology, Charlotte, NC 28203 Phone: 704-373-0212 | |
Mrs. Joanna Beth Wisotsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7809 Sardis Rd, Charlotte, NC 28270 Phone: 704-364-4000 Fax: 704-364-4005 | |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 | |
Shelda Amilcka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 | |
Lindsay Caroline Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2682 Fax: 704-323-3985 |