Individual provider · Type 1 NPI
Lanyn Clark
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1992167522
Active
Practice location
40 Ladue Ter
St. Louis, MO 63124-2048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2015014622 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1992167522
Lanyn Clark's National Provider Identifier is 1992167522, issued on Mar 23, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Mar 23, 2016.