Lauretta Lynne Clowes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC003000L Issued in PA

Practice address

78 Broad Ave
Susquehanna, PA 18847-2621

Phone

(570) 853-3332

Fax

(570) 853-3516

NPI assigned

Jul 27, 2006

Last updated

Jul 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1184648743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BROAD AVE",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472621",
            "telephone_number": "570-853-3332",
            "fax_number": "570-853-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BROAD AVE",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472621",
            "telephone_number": "570-853-3332",
            "fax_number": "570-853-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWES",
        "first_name": "LAURETTA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003000L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "820362",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013015190001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "00456611",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barnes-Kasson County Hospital
• Barnes-Kasson County Hospital
• Barnes-Kasson County Hospital (Family Health Clinic of Barnes Kasson Hospital)
• Linda Ann Bedford
• Kara Capozzi, MSW
• Janine Marie Dewitt, PMHNP
• Kathryn Nellie Dewitt
• Warren Dewitt, MD
• Paul Downton, PA-C
• Logan Lee Ellis, RDN LDN

• Chiropractor in Susquehanna, PA
• Providers in Susquehanna, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.