Clarke, Lillie Mae
Clarke, Lillie Mae is an individual health care provider with primary practice located at 5603 S Central Ave , Los Angeles CA 90011-5967. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Clarke, Lillie Mae can be contacted via phone (323) 432-3700.Contact Information
Primary practice address
5603 S Central Ave
Los Angeles CA 90011-5967
Phone: (323) 432-3700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | CI34780122 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CI34780122 | California |
Profile Details
NPI number | 1598400848 |
---|---|
LBN Legal business name | Clarke, Lillie Mae |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2022 |
Last updated | Jul 25th, 2023 - about 2 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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