person
Lerone Evanton Clark, DO
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1457102741

Lerone Evanton Clark is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Lerone Evanton Clark practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Lerone Evanton Clark is 1457102741 and holds a License No. (Florida).

The current practice location address for Lerone Evanton Clark is 4500 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 904-953-2000.

Location: 4500 San Pablo Rd S, Jacksonville, FL, 32224-1865
person
Provider Profile Details
NPI Number
1457102741
Provider Name
Lerone Evanton Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4500 San Pablo Rd S, Jacksonville, FL, 32224-1865
Phone Number
904-953-2000
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4500 San Pablo Rd S
City
State
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4500 San Pablo Rd S
City
State
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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