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Lyreva J Clark, RNFNP-C
Family Nurse Practitioner in Hannibal, Missouri
NPI 1548246747

Lyreva J Clark is a Family Nurse Practitioner based in Hannibal, MO and is specialized in Family. Lyreva J Clark practices in Hannibal, MO and has the professional credentials of RNFNP-C. The NPI Number for Lyreva J Clark is 1548246747 and holds a License No. 2003005715 (Missouri).

The current practice location address for Lyreva J Clark is 6500 Hospital Dr, Hannibal, MO and can be reached out via phone at 573-629-3400. You can also correspond with Lyreva J Clark through the mailing address at PO BOX 551, HANNIBAL, MO - 63401-0551 (mailing address contact number: 573-588-4134).

Location: 6500 Hospital Dr, Hannibal, MO, 63401-0551
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Provider Profile Details
NPI Number
1548246747
Provider Name
Lyreva J Clark
Credential
RNFNP-C
Provider Entity Type
Individual
Gender
Female
Address
6500 Hospital Dr, Hannibal, MO, 63401-0551
Phone Number
573-629-3400
Fax Number
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
429238306 05 MO
institution
Provider Business Practice Location Address Details
Address
6500 Hospital Dr
City
State
Zip
63401-6890
Phone Number
573-629-3400
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Hospital Dr
City
State
Zip
63401-6890
Phone Number
573-629-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2003005715 (Missouri)
Definition
Definition to come...
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