Jacob Connor Lansberry, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Raleigh, NC

NPI

1912681867

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

0010-13502 (NC)

Sex

Male

Sole proprietor

Yes

Enumerated

2023-06-12

Last updated

2023-09-26