Individual provider · Type 1 NPI

Charla Clark

Licensed Practical Nurse · Lynchburg, VA

NPI number 1942160080 Active

Practice location

1600 Lakeside Dr
Lynchburg, VA 24501-3116

Fax (540) 224-1906

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002073062 (VA)

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 1942160080

Charla Clark's National Provider Identifier is 1942160080, issued on Nov 12, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lynchburg, VA. The record was last updated on Nov 12, 2025.