Individual provider · Type 1 NPI
Alexis E. Lark, LPN
Licensed Practical Nurse · Dallas, GA
NPI number
1750280384
Active
Practice location
243 Merchants Dr Ste C
Dallas, GA 30132-4749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN099092 (GA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1750280384
Alexis E. Lark, LPN's National Provider Identifier is 1750280384, issued on Nov 2, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dallas, GA. The record was last updated on Nov 2, 2026.