Individual
LILY N CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1113 HWY 49, SAN ANDREAS, CA 95249
(209) 755-1400
(209) 755-1430
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6240
(209) 754-6274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP7118
CA
Other
Enumeration date
05/30/2013
Last updated
07/26/2013
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