Organization
ALLERGY AND ASTHMA SPECIALISTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE STANTON CLORE JR. M.D. (PRESIDENT)
(270) 684-6144
Entity
Organization
Contact information
Practice address
3604 WATHENS CROSSING, OWENSBORO, KY 42301-7035
(270) 684-6144
(270) 684-2944
Mailing address
3604 WATHENS CROSSING, OWENSBORO, KY 42301-7035
(270) 684-6144
(270) 684-2944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000107585
ANTHEM BC AND BS
KY
05
—
7100213120
—
KY
Enumeration date
08/27/2006
Last updated
12/03/2021
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