Individual
DR. LAWRENCE P CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1138 E CHESTNUT AVE, BUILDING 6A, VINELAND, NJ 08360-5053
(856) 696-2660
(856) 696-8548
Mailing address
1138 E CHESTNUT AVE, BUILDING 6A, VINELAND, NJ 08360-5053
(856) 696-2660
(856) 696-8548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03018600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074628000
AMERIHEALTH
NJ
01
—
049091
VALUE OPTIONS
NJ
05
—
2920204
—
NJ
Enumeration date
12/29/2006
Last updated
07/08/2007
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