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Individual

MRS. LAUREN L. CLEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7714 CONNER RD STE 103, POWELL, TN 37849-3559
(865) 938-8121
(865) 212-5561
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5675
(865) 584-7712

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2083
TN
363AS0400X
Surgical Physician Assistant
PA2083
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1527757
TN
Enumeration date
01/12/2012
Last updated
07/26/2019
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