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Individual

MRS. LAURIE ANN CLIFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCCA

Contact information

Practice address
4202 HERMITAGE ROAD, RICHMOND, VA 23227-3755
(804) 266-6699
(804) 264-5988
Mailing address
4202 HERMITAGE ROAD, RICHMOND, VA 23227-3755
(804) 266-6699
(804) 264-5988

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000551
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052550
BCBS
VA
01
11123
CARENET
VA
01
230394
ALLIANCE NETWORK
VA
01
259332
SOUTHERN HEALTH
VA
01
3822946
CIGNA PPO
VA
05
9450297
VA
Enumeration date
08/22/2006
Last updated
07/08/2007
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