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General NPI Number Information
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NPI Number | 1447201314
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Entity Type | Individual
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Provider Name | LU H SCLAIR ANP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1949 HOSPITAL DR
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City | MARTINSVILLE
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State | IN
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Zip | 46151-1861
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Country | US
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Telephone | 765-342-3364
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Fax |
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Provider Business Mailing Address
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Address Line | 2209 JOHN R WOODEN DR
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City | MARTINSVILLE
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State | IN
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Zip | 46151-1840
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Country | US
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Telephone | 765-342-3364
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71001992A
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License Number State | IN
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