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Individual
MRS. LAURIE ANN CLIFTON
Active
Individual
MRS. LAURIE ANN CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000551
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052550
BCBS
VA
01
—
11123
CARENET
VA
01
—
230394
ALLIANCE NETWORK
VA
01
—
259332
SOUTHERN HEALTH
VA
01
—
3822946
CIGNA PPO
VA
05
—
9450297
—
VA
Enumeration date
08/22/2006
Last updated
07/08/2007
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