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NPI Code Detail

MEDICARE: MS. LU H SCLAIR ANP

MEDICARE:  MS. LU H SCLAIR  ANP
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
1363L00000XNurse Practitioner71001992AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171001992AOTHERINNURSE PRACTITIONER LICENS
271001992BOTHERINCSR
328110557AOTHERINREGISTERED NURSE LICENSE

General Provider Information

NPI Number : 1447201314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LU H SCLAIR ANP
Provider Business Mailing Address
First Line : 2209 JOHN R WOODEN DR
Second Line :
City : MARTINSVILLE
State : IN
Zip : 46151-1840
Country : US
Telephone Number : 765-342-3364
Fax Number :
Provider Business Practice Location Address
First Line : 1949 HOSPITAL DR
Second Line :
City : MARTINSVILLE
State : IN
Zip : 46151-1861
Country : US
Telephone Number : 765-342-3364
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/07/2023

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Directions to “ MS. LU H SCLAIR ANP” Practice Location

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