Clawson, Lance R.

Clawson, Lance R. is an individual health care provider with primary practice located at 320 E Bonita Ave , Pomona CA 91767-1926. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Clawson, Lance R. can be contacted via phone (909) 621-1180.

Contact Information

Primary practice address
320 E Bonita Ave Pomona CA 91767-1926
Phone: (909) 621-1180
Fax: (909) 624-1650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO01251 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO01251 California

Profile Details

NPI number 1497913719
LBN Legal business name Clawson, Lance R.
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated May 23rd, 2008 - about 18 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 1497913719 NPPES
California MEDICAID GXC000770

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