Individual provider · Type 1 NPI

Lara Clark

Pediatric Nurse Practitioner · Tacoma, WA

NPI number 1447684832 Active

Practice location

1112 S Cushman Ave
Tacoma, WA 98405-3631

Fax (253) 272-4125

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP60376142 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1447684832

Lara Clark's National Provider Identifier is 1447684832, issued on Aug 21, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tacoma, WA. The record was last updated on Aug 21, 2013.