Organization · Type 2 NPI
Lowell F Clark MD PA
Clinic/Center · San Antonio, FL
NPI number
1093469983
Active
Practice location
12620 Curley St
San Antonio, FL 33576-8136
Mailing address
212 S Fla St
Bushnell, FL 33513-6703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1093469983
Lowell F Clark MD PA's National Provider Identifier is 1093469983, issued on Feb 9, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Antonio, FL. The record was last updated on Feb 9, 2022.