Individual
LANCE R. CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 624-1650
Mailing address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 624-1650
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO01251
CA
224P00000X
Prosthetist
Primary
CPO01251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000770
—
CA
Enumeration date
05/23/2008
Last updated
05/23/2008
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