Treston Grant Clark-Larue, PA-C
NPI #1225703853 in Lillington, North Carolina
Provider Information
- NPI Number
- 1225703853
- Entity Type
- Individual
- Name
- Treston Grant Clark-Larue, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 16, 2021
- Last Updated
- Aug 16, 2021
Practice Location
- Address
- 4350 US 421 S
- City
- Lillington
- State
- North Carolina
- ZIP Code
- 27546-6760
- Phone
- (910) 893-1210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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