MEDICARE: PETER CLAYTON LAMEAR PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2026006554	MO

General Provider Information

NPI Number	:	1104771062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER CLAYTON LAMEAR PLPC

Provider Business Mailing Address
First Line	:	1303 S FAIRVIEW RD
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-0811
Country	:	US
Telephone Number	:	520-869-2624
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W BROADWAY STE 2F
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-3842
Country	:	US
Telephone Number	:	573-214-0436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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