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Mrs. Lauren Jean Clark
Student in an Organized Health Care Education/Training Program in Mitchellville, Maryland
NPI 1679000285

Lauren Jean Clark is a Student in an Organized Health Care Education/Training Program based in Germantown, MD. Lauren Jean Clark practices in Mitchellville, MD. The NPI Number for Lauren Jean Clark is 1679000285 and holds a License No. (Maryland).

The current practice location address for Lauren Jean Clark is 12158 Central Ave, Mitchellville, MD and can be reached out via phone at 301-390-3076.

Location: 12158 Central Ave, Mitchellville, MD, 20874-1186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679000285
Provider Name
Lauren Jean Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
12158 Central Ave, Mitchellville, MD, 20874-1186
Phone Number
301-390-3076
Fax Number
Provider Enumeration Date
05/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12158 Central Ave
City
Mitchellville
State
Maryland
Zip
20721-1932
Phone Number
301-390-3076
Fax Number
person
Provider Business Mailing Address Details
Address
12158 Central Ave
City
Mitchellville
State
Maryland
Zip
20721-1932
Phone Number
301-390-3076
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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