Clarkson, Lola B
Clarkson, Lola B is an individual health care provider with primary practice located at 1911 Thurmond Mall , Columbia SC 29201-2375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Clarkson, Lola B can be contacted via phone (803) 799-5390.Contact Information
Primary practice address
1911 Thurmond Mall
Columbia SC 29201-2375
Phone: (803) 799-5390
Fax: (803) 799-5391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 13601 | South Carolina |
Profile Details
| NPI number | 1184615825 |
|---|---|
| LBN Legal business name | Clarkson, Lola B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184615825 | NPPES |
| South Carolina | MEDICAID | 136016 |
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