Clark, Larry K
Clark, Larry K is an individual health care provider with primary practice located at 10465 Park Meadows Dr Ste 104 , Lone Tree CO 80124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Clark, Larry K can be contacted via phone (303) 799-7903.Contact Information
Primary practice address
10465 Park Meadows Dr Ste 104
Lone Tree CO 80124
Phone: (303) 799-7903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | DR.0049678 | Colorado |
Profile Details
| NPI number | 1821034877 |
|---|---|
| LBN Legal business name | Clark, Larry K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 2nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821034877 | NPPES |
| Missouri | MEDICAID | 202326104 | |
| Missouri | Other | 160052701 |
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