| Doctor Name: | MS. LAUREN E CLARK |
| NPI Number: | 1356587794 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 485580 |
| Business Practice Address: | 411 Main St 3rd Floor Catskill, NY - 124141363 |
| Business Phone Number: | 5187193580 |
| Business Fax Number: | 5187193797 |
| Mailing Address: | 411 Main St, 3rd Floor CATSKILL |
| State: | NY |
| Postal Code: | 124141363 |
| Phone Number: | 5187193580 |
| Fax Number: | 5187193797 |
| NPI Enumeration Date: | 01/06/2009 |
| NPI Last Update Date: | 01/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 485580 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |