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Individual

MR. CLARK ANTHONY LAPRELLE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6354 WALKER LN STE 300, ALEXANDRIA, VA 22310-3252
(703) 810-5210
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11740
NC
363A00000X
Physician Assistant
Primary
0110010482
VA
363AS0400X
Surgical Physician Assistant
PA60709306
WA

Other

Enumeration date
10/14/2016
Last updated
12/10/2024
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