| Doctor Name: | ALANE RENEE CLARKE |
| NPI Number: | 1003051194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.D.O. |
| License Number: | DO3441 |
| Business Practice Address: | 8432 Lockwood Ridge Rd Sarasota, FL - 342432903 |
| Business Phone Number: | 9413591105 |
| Business Fax Number: | 9413591229 |
| Mailing Address: | 8432 Lockwood Ridge Rd, SARASOTA |
| State: | FL |
| Postal Code: | 342432903 |
| Phone Number: | 9413591105 |
| Fax Number: | 9413591229 |
| NPI Enumeration Date: | 12/04/2008 |
| NPI Last Update Date: | 12/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | DO3441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |