NPI 1376550137

Theresa Lee Clanton

Practitioner Phlebotomy Technician Van Buren, MO

Practice location

Address: 402 Main St., Van Buren, MO 63965
Phone: (573) 323-4853
Fax: (573) 323-4465
Mailing address: 696 Carter Route M, Van Buren, MO 63965-7014

Registered specialties (2)

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 475-1 (MO)

Other Technician, Pathology providers in Missouri →

Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

Other Nurse's Aide providers in Missouri →

Registry record

NPI: 1376550137
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2006
Record last updated: 28 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.