Provider Demographics
NPI:1386686228
Name:CLARKE, LAWRENCE ROSS (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:ROSS
Last Name:CLARKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 VISTA RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2159
Mailing Address - Country:US
Mailing Address - Phone:713-943-2444
Mailing Address - Fax:713-943-3511
Practice Address - Street 1:3801 VISTA RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2159
Practice Address - Country:US
Practice Address - Phone:713-943-2444
Practice Address - Fax:713-943-3511
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG5839207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology