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Laura Elizabeth Clark, LPN
Licensed Practical Nurse in Kelso, Washington
NPI 1538936489

Laura Elizabeth Clark is a Licensed Practical Nurse based in Clatskanie, WA. Laura Elizabeth Clark practices in Kelso, WA and has the professional credentials of LPN. The NPI Number for Laura Elizabeth Clark is 1538936489 and holds a License No. LP61013657 (Washington).

The current practice location address for Laura Elizabeth Clark is 305 Pacific Ave S Ste C, Kelso, WA and can be reached out via phone at 360-644-1047.

Location: 305 Pacific Ave S Ste C, Kelso, WA, 97016-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538936489
Provider Name
Laura Elizabeth Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
305 Pacific Ave S Ste C, Kelso, WA, 97016-2119
Phone Number
360-644-1047
Fax Number
Provider Enumeration Date
12/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste C
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-644-1047
Fax Number
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste C
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-644-1047
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP61013657 (Washington)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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