Lannette A Clemons, PA
Physician Assistant in Shelby, OH. Individual provider (NPI-1).
NPI number1043502172
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1043502172
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lannette A Clemons
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2011
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50003274RX | OH | Yes |
Practice location
24 Morris Rd Ste 2Shelby, OH 44875-1170
Phone 419-347-4177 · Fax 419-347-9079
Mailing address
Po Box 7527Dublin, OH 43017-0727
Phone 419-347-4177 · Fax 419-347-9079
Other practice locations
218 S Myrtle Ave
Willard, OH 44890-1408
Willard, OH 44890-1408
Phone 419-964-5380 · Fax 419-933-0200
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