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Individual

MS. LU H SCLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1949 HOSPITAL DR, MARTINSVILLE, IN 46151-1861
(765) 342-3364
Mailing address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 342-3364

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001992A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28110557A
REGISTERED NURSE LICENSE
IN
01
71001992A
NURSE PRACTITIONER LICENS
IN
01
71001992B
CSR
IN
Enumeration date
05/15/2006
Last updated
03/07/2023
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