Individual provider · Type 1 NPI
Mark Justin Clary, LMP
Specialist · Lacey, WA
NPI number
1427403369
Active
Practice location
8294 28th Ct NE Ste 100
Lacey, WA 98516-7140
Mailing address
390 W Insels Rd
Shelton, WA 98584-9167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60439284 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1427403369
Mark Justin Clary, LMP's National Provider Identifier is 1427403369, issued on Apr 28, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lacey, WA. The record was last updated on Apr 28, 2016.