Individual
MRS. BETSY ANN CLAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 THIRD AVE, WAYLAND, NY 14572
(585) 728-5743
Mailing address
PO BOX 167, 19 W MAIN STREET, ATLANTA, NY 14808-0167
(585) 534-5463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287493
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857050
—
NY
Enumeration date
08/21/2007
Last updated
08/21/2007
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