Clarkston, Laurie A.

Clarkston, Laurie A. is an individual health care provider with primary practice located at 816 E Main St , Willow Springs MO 65793-1518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clarkston, Laurie A. can be contacted via phone (417) 269-2490.

Contact Information

Primary practice address
816 E Main St Willow Springs MO 65793-1518
Phone: (417) 269-2490
Fax: (417) 269-2492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000154878 Missouri

Profile Details

NPI number 1346358579
LBN Legal business name Clarkston, Laurie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Mar 7th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346358579 NPPES
Missouri MEDICAID 204998405
Missouri Other 128140

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