Mcclinton, Lawrence
Mcclinton, Lawrence is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Mcclinton, Lawrence can be contacted via phone (314) 257-5555.Contact Information
Primary practice address
1201 S Grand Blvd
Saint Louis MO 63104-1016
Phone: (314) 257-5555
Fax: (314) 257-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 110249 | Missouri |
Profile Details
| NPI number | 1427055961 |
|---|---|
| LBN Legal business name | Mcclinton, Lawrence |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Feb 11th, 2021 - about 3 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 | 1427055961 | NPPES |
| Missouri | Other | 110249 | LICENSE |
| Missouri | Other | 085000213 | LICENSE |
| Missouri | Other | 546190 | LICENSE |
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