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General NPI Number Information
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NPI Number | 1649164484
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Entity Type | Organization
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Legal Business Name | LC PSYCHIATRY INC.
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 8460 BIRCHWOOD CT STE 700
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City | JOHNSTON
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State | IA
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Zip | 50131-2806
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Country | US
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Telephone | 515-707-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 8460 BIRCHWOOD CT STE 700
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City | JOHNSTON
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State | IA
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Zip | 50131-2806
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Country | US
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Telephone | 515-229-2318
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Fax | 515-214-1946
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURIE LAVON CLAIR
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Credential | PA-C
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Telephone | 515-707-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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