Clarkson, Lola B

Clarkson, Lola B is an individual health care provider with primary practice located at 1911 Thurmond Mall , Columbia SC 29201-2375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Clarkson, Lola B can be contacted via phone (803) 799-5390.

Contact Information

Primary practice address
1911 Thurmond Mall Columbia SC 29201-2375
Phone: (803) 799-5390
Fax: (803) 799-5391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 13601 South Carolina

Profile Details

NPI number 1184615825
LBN Legal business name Clarkson, Lola B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184615825 NPPES
South Carolina MEDICAID 136016

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