MR. LARRY P LEASE P.A.
NPI 1265400071
Physician Assistant in Charlotte, NC

Active since March 08, 2006
6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000(704) 295-3468 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Larry P Lease P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY P LEASE P.A. (NPI 1265400071) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (102779) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1265400071
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LARRY P LEASECredential: P.A.
Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Fax(704) 295-3468
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 6, 2015
NPI 1265400071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 102779
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6035 FAIRVIEW RD, Charlotte, NC 28210

Other Identifiers 10

Other412826953NC · Tricare For Life
Medicare UPINP06541
Medicaid0944PASC
Medicaid8102485NC
Other164XENC · Bcbsnc
Other98460NC · Medcost
Other970011977NC · Railroad Medicare
Other7090171NC · Aetna
Other833406SC · Wellcare Of Sc
Medicare PIN2752713BNC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Speech-Language Pathologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Optometrist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Ophthalmology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Lease's NPI number?

The NPI number for Larry Lease is 1265400071. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Larry Lease located?

Larry Lease practices at 6035 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 295-3000.

What is Larry Lease's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Larry Lease was last updated on March 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.