Individual
SAMUEL LAWRENCE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7613
WI
367500000X
Certified Registered Nurse Anesthetist
CRNA 1856
MN
Other
Enumeration date
11/17/2015
Last updated
06/04/2024
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