person
Lara Clark
Pediatric Nurse Practitioner in Tacoma, Washington
NPI 1447684832

Lara Clark is a Pediatric Nurse Practitioner based in Seattle, WA and is specialized in Pediatrics. Lara Clark practices in Tacoma, WA. The NPI Number for Lara Clark is 1447684832 and holds a License No. AP60376142 (Washington).

The current practice location address for Lara Clark is 1112 S Cushman Ave, Tacoma, WA and can be reached out via phone at 253-593-2144 and via fax at 253-272-4125.

Location: 1112 S Cushman Ave, Tacoma, WA, 98124-1703
person
Provider Profile Details
NPI Number
1447684832
Provider Name
Lara Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1112 S Cushman Ave, Tacoma, WA, 98124-1703
Phone Number
253-593-2144
Fax Number
253-272-4125
Provider Enumeration Date
08/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1112 S Cushman Ave
City
State
Zip
98405-3631
Phone Number
253-593-2144
Fax Number
253-272-4125
person
Provider Business Mailing Address Details
Address
1112 S Cushman Ave
City
State
Zip
98405-3631
Phone Number
253-593-2144
Fax Number
253-272-4125
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP60376142 (Washington)
Definition
Definition to come...
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