NPI 1013194000 LAURETTA E CLARK GILBERT AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Lauretta E Clark - NPI: 1013194000

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: LAURETTA E CLARK
NPI Number: 1013194000
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number:
Business Practice Address: 4068 E Pecos Rd
Gilbert, AZ - 852952529
Business Phone Number: 4802797321
Business Fax Number: 4802797305
Mailing Address: 4068 E Pecos Rd,
GILBERT
State: AZ
Postal Code: 852952529
Phone Number: 4802797321
Fax Number: 4802797305
NPI Enumeration Date: 01/22/2008
NPI Last Update Date: 02/11/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YS0200X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: School
Taxonomy Definition:


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