Smith, Clifford Lawrence

Smith, Clifford Lawrence is an individual health care provider with primary practice located at 12720 Mcmanus Blvd Suite 305, Newport News VA 23602-4414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Clifford Lawrence can be contacted via phone (757) 947-3170.

Contact Information

Primary practice address
12720 Mcmanus Blvd Suite 305 Newport News VA 23602-4414
Phone: (757) 947-3170
Fax: (757) 947-3180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9422 Hawaii
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101253226 Virginia

Profile Details

NPI number 1801987169
LBN Legal business name Smith, Clifford Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 27th, 2022 - about 2 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 1801987169 NPPES
Virginia Other C10716 GROUP PTAN

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