Individual
LAURENCE J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8101 HINSON FARM RD, #119, ALEXANDRIA, VA 22306-3403
(703) 799-7300
(703) 799-8767
Mailing address
8101 HINSON FARM RD, #119, ALEXANDRIA, VA 22306-3403
(703) 799-7300
(703) 799-8767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101030440
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065941
ANTHEM HEALTHKEEPERS
VA
01
—
409113518
PALMETTO MEDICARE RAILROAD
DC
05
—
6086659
—
VA
Enumeration date
11/30/2005
Last updated
12/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us