Clark Lacayo, Lorene

Clark Lacayo, Lorene is an sole proprietor health care provider with primary practice located at 1617 Broadway St , Vallejo CA 94590-2406. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Clark Lacayo, Lorene can be contacted via phone (866) 251-4514.

Contact Information

Primary practice address
1617 Broadway St Vallejo CA 94590-2406
Fax: (707) 556-3755
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1992127013
LBN Legal business name Clark Lacayo, Lorene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2014
Last updated Jan 8th, 2014 - about 11 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.

Request for update

Popular Providers