Organization · Type 2 NPI

Clark Integrated Medical Clinics LLC

General Practice Physician · Lafayette, LA

NPI number 1124529284 Active

Practice location

401 E Verot School Rd
Lafayette, LA 70508-3315

Call (337) 232-3353 Map

Fax (337) 232-9304

Other practice locations

1833 E Main St, New Iberia, LA 70560-4045 · (337) 367-7463
1135 Expressway Dr Ste 100B, Pineville, LA 71360-6666 · (318) 793-7910

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
General Practice Physician Primary	208D00000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Another provider at this address

Louisiana Brain Injury Specialists, LLCNeurology Physician Lafayette, LA NPI 1912870924

Other general practice physician providers in Lafayette

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NPI record

NPI: 1124529284
Entity type: Organization (Type 2)
Issued: Feb 23, 2018
Last updated: Jul 25, 2025
Status: Active

Other names

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Clark Integrated Medical Clinics · doing business as
Clark Integrated Medical Clinics · doing business as

Authorized official

Dr. Jacob Scott Clark, DC
Owner
(337) 232-3353

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124529284

Clark Integrated Medical Clinics LLC's National Provider Identifier is 1124529284, issued on Feb 23, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 25, 2025.