Clark, Lara

Clark, Lara is an individual health care provider with primary practice located at 1112 S Cushman Ave , Tacoma WA 98405-3631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Lara can be contacted via phone (253) 593-2144.

Contact Information

Primary practice address
1112 S Cushman Ave Tacoma WA 98405-3631
Fax: (253) 272-4125
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60376142 Washington

Profile Details

NPI number 1447684832
LBN Legal business name Clark, Lara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2013
Last updated Aug 21st, 2013 - 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.

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