Individual provider · Type 1 NPI
Lavonne D. Clark, DC
Chiropractor · Phoenix, AZ
NPI number
1053402883
Active
Practice location
2826 W Northern Ave
Phoenix, AZ 85051-6626
Fax (602) 995-3759
Mailing address
36247 N 17th Ave
Phoenix, AZ 85086-6314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 7651 (AZ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
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About NPI 1053402883
Lavonne D. Clark, DC's National Provider Identifier is 1053402883, issued on Sep 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2007.