Individual provider · Type 1 NPI

Rebecca Theresa Clark, RN

Community Health Registered Nurse · Lake Charles, LA

NPI number 1114331543 Active

Practice location

3236 Kirkman St
Lake Charles, LA 70601-8640

Fax (337) 475-4820

Mailing address

1120 Lasalette Ave
Sulphur, LA 70663-5124

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN088489 (LA)

Community Health Registered Nurse: Definition to come...

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About NPI 1114331543

Rebecca Theresa Clark, RN's National Provider Identifier is 1114331543, issued on Jun 13, 2014. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Lake Charles, LA. The record was last updated on Jun 13, 2014.