| Lawrence P. Clinton, M.d., P.a. | |
|
1138 E Chestnut Ave Building 6a Vineland NJ 08360-5053 | |
| (856) 696-2660 | |
| (856) 696-8548 |
| Full Name | Lawrence P. Clinton, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1138 E Chestnut Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Lawrence P. Clinton (PRESIDENT) |
| Authorized Official Contact | 8566962660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence P. Clinton, M.d., P.a. 1138 E Chestnut Ave Building 6a Vineland NJ 08360-5053 Ph: (856) 696-2660 | Lawrence P. Clinton, M.d., P.a. 1138 E Chestnut Ave Building 6a Vineland NJ 08360-5053 Ph: (856) 696-2660 |
| NPI Number | 1992017321 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Medicare PECOS PAC ID | 1658404314 |
|---|---|
| Medicare Enrollment ID | O20100802000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992017321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA03018600 (New Jersey) | Primary |
| Provider Name | Lawrence P Clinton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316003734 PECOS PAC ID: 3678596566 Enrollment ID: I20060105000904 |
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