Individual provider · Type 1 NPI

Lauren Clark

Student in an Organized Health Care Education/Training Program · Ada, MI

NPI number 1265949549 Active

Practice location

9801 Fulton St E
Ada, MI 49301-8915

Fax (616) 240-4936

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265949549

Lauren Clark's National Provider Identifier is 1265949549, issued on Jan 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ada, MI. The record was last updated on Jan 8, 2018.