Individual
LAWRENCE A CLOUTIER
Active
Individual
LAWRENCE A CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 0004518
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0004518
CO
363AS0400X
Surgical Physician Assistant
PA1106
NV
363AS0400X
Surgical Physician Assistant
PA21434
CA
Other
Enumeration date
07/02/2008
Last updated
11/14/2023
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