# CLAYPOOL OBSTETRICS AND GYNECOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659506749
- **Authorized official:** LORI A CLAYPOOL D.O. (DO/OWNER)
- **Authorized official phone:** (573) 632-5533

## Contact information

- **Practice address:** 1111 MADISON ST, JEFFERSON CITY, MO 65101-2753
- **Practice address phone:** (573) 632-5533
- **Mailing address:** 419 CRYSTAL VIEW TER, JEFFERSON CITY, MO 65109-0959
- **Mailing address phone:** (573) 634-3152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2002030699 | MO | Yes |

## Other

- **Enumeration date:** 05/19/2009
- **Last updated:** 07/07/2009