Healthcare Provider Details

I. General information

NPI: 1700131638
Provider Name (Legal Business Name): PAUL NATALE LANFRANCHI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 N MAIN ST
TARBORO NC
27886-1921
US

IV. Provider business mailing address

2906 N MAIN ST
TARBORO NC
27886-1921
US

V. Phone/Fax

Practice location:
  • Phone: 252-823-7212
  • Fax: 252-641-7286
Mailing address:
  • Phone: 252-823-7212
  • Fax: 252-641-7286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-06189
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: