Clark, Lea L

Clark, Lea L is an individual health care provider with primary practice located at 717 Knox County Highway 18 , Yates City IL 61572. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Lea L can be contacted via phone (309) 264-2457.

Contact Information

Primary practice address
717 Knox County Highway 18 Yates City IL 61572
Phone: (309) 264-2457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209021458 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209021458 Illinois

Profile Details

NPI number 1255910386
LBN Legal business name Clark, Lea L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2021
Last updated Sep 30th, 2021 - about 3 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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