Individual
DR. LEE STANTON CLORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3604 WATHENS CROSSING, OWENSBORO, KY 42301-7035
(270) 684-6144
(270) 684-2944
Mailing address
3604 WATHENS CROSSING, OWENSBORO, KY 42301-7035
(270) 684-6144
(270) 684-2944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
33785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00541691
ANTHEM MEDICAID
KY
01
—
604818
WELLCARE OF KENTUCKY, MCO
KY
05
—
64337850
—
KY
Enumeration date
07/07/2005
Last updated
12/03/2021
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