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Loretta A Clark, LMP
Preferred Provider Organization in Spokane, Washington
NPI 1720377278

Loretta A Clark is a Preferred Provider Organization based in Spokane, WA. Loretta A Clark practices in Spokane, WA and has the professional credentials of LMP. The NPI Number for Loretta A Clark is 1720377278 and holds a License No. MA60097219 (Washington).

The current practice location address for Loretta A Clark is 216 W Pacific Ave, Spokane, WA and can be reached out via phone at 509-413-7070.

Location: 216 W Pacific Ave, Spokane, WA, 99207-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720377278
Provider Name
Loretta A Clark
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
216 W Pacific Ave, Spokane, WA, 99207-1535
Phone Number
509-413-7070
Fax Number
Provider Enumeration Date
04/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
216 W Pacific Ave
City
Spokane
State
Washington
Zip
99201-3661
Phone Number
509-413-7070
Fax Number
person
Provider Business Mailing Address Details
Address
216 W Pacific Ave
City
Spokane
State
Washington
Zip
99201-3661
Phone Number
509-413-7070
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
MA60097219 (Washington)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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