Individual provider · Type 1 NPI

Ursula Lori Clark

Contractor · Lake Park, GA

NPI number 1710562129 Active

Practice location

4700 Rolling Pine Dr Apt D25
Lake Park, GA 31636-4935

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1710562129

Ursula Lori Clark's National Provider Identifier is 1710562129, issued on Mar 17, 2021. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Lake Park, GA. The record was last updated on Mar 17, 2021.