Individual
MS. LANNETTE A CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
24 MORRIS RD STE 2, SHELBY, OH 44875-1170
(419) 347-4177
(419) 347-9079
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 347-4177
(419) 347-9079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50003274RX
OH
Other
Enumeration date
05/09/2011
Last updated
12/19/2023
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