NPI 1003162595

Heather Joy Laisure, PAC

Practitioner Physician Assistant Greensboro, NC

Practice location

Address: 5701 W Friendly Ave, Greensboro, NC 27410-4112
Phone: (336) 852-1915
Fax: (336) 294-3544
Mailing address: 100 Kimel Forest Dr, Winston Salem, NC 27103-6074

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-03663 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1003162595
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2012
Record last updated: 28 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.