Individual
LAURI CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
9250 AMBERTON PKWY, DALLAS, TX 75243-3224
(682) 236-3656
Mailing address
9250 AMBERTON PKWY, DALLAS, TX 75243-3224
(682) 236-3656
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP137564
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP137564
TX
Other
Enumeration date
05/13/2019
Last updated
12/08/2020
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