Individual
DR. LAURIE A. CLARKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2303 HIGGINS RD STE F, PLATTE CITY, MO 64079-7101
(913) 758-6980
(913) 775-8681
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000154878
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128140
BLUE CROSS MO
—
05
—
204998405
—
MO
Enumeration date
08/28/2006
Last updated
09/23/2025
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