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Dr. Nicole C. Clark, DO
Family Medicine Physician in Lebanon, Indiana
NPI 1083110225

Nicole C. Clark is a Family Medicine Physician based in Lebanon, IN. Nicole C. Clark practices in Lebanon, IN and has the professional credentials of DO. The NPI Number for Nicole C. Clark is 1083110225 and holds a License No. 02006481A (Indiana).

The current practice location address for Nicole C. Clark is 2705 N Lebanon St Ste 300, Lebanon, IN and can be reached out via phone at 765-485-8649 and via fax at 765-485-8650.

Location: 2705 N Lebanon St Ste 300, Lebanon, IN, 46052-1476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083110225
Provider Name
Nicole C. Clark
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2705 N Lebanon St Ste 300, Lebanon, IN, 46052-1476
Phone Number
765-485-8649
Fax Number
765-485-8650
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300014551 05 IN
institution
Provider Business Practice Location Address Details
Address
2705 N Lebanon St Ste 300
City
Lebanon
State
Indiana
Zip
46052-8622
Phone Number
765-485-8649
Fax Number
765-485-8650
person
Provider Business Mailing Address Details
Address
2705 N Lebanon St Ste 300
City
Lebanon
State
Indiana
Zip
46052-8622
Phone Number
765-485-8649
Fax Number
765-485-8650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02006481A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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