| Doctor Name: | DR. LIANA ROXANNE CLARK |
| NPI Number: | 1033507371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD050387L |
| Business Practice Address: | 770 Sumneytown Pike Wp97-a345 West Point, PA - 194860004 |
| Business Phone Number: | 2156522640 |
| Business Fax Number: | 2159932350 |
| Mailing Address: | 770 Sumneytown Pike, Wp97-a345 WEST POINT |
| State: | PA |
| Postal Code: | 194860004 |
| Phone Number: | 2156522640 |
| Fax Number: | 2159932350 |
| NPI Enumeration Date: | 01/08/2015 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | MD050387L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |