Clark, Larry Edward

Clark, Larry Edward is an individual health care provider with primary practice located at 121 Nationwide Dr Suite A, Lynchburg VA 24502-4272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clark, Larry Edward can be contacted via phone (434) 384-1862.

Contact Information

Primary practice address
121 Nationwide Dr Suite A Lynchburg VA 24502-4272
Phone: (434) 384-1862
Fax: (434) 384-7704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101231402 Virginia

Profile Details

NPI number 1780659508
LBN Legal business name Clark, Larry Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 16th, 2010 - about 14 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

Identifiers

StateTypeNumberIssuer
All States NPI 1780659508 NPPES
Virginia MEDICAID 010149002

Popular Providers