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
Fax: (314) 257-5556
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427055961 NPPES
Missouri Other 110249 LICENSE
Missouri Other 085000213 LICENSE
Missouri Other 546190 LICENSE

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