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Organization
CLARK INTEGRATED MEDICAL CLINICS LLC
Active
Organization
CLARK INTEGRATED MEDICAL CLINICS LLC
Active
Other names
Clark Integrated Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB SCOTT CLARK DC (OWNER)
(337) 232-3353
Entity
Organization
Contact information
Practice address
401 E VEROT SCHOOL RD, LAFAYETTE, LA 70508-3315
(337) 232-3353
(337) 232-9304
Mailing address
401 E VEROT SCHOOL RD, LAFAYETTE, LA 70508-3315
(337) 232-3353
(337) 232-9304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/23/2018
Last updated
07/25/2025
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