# ASHLEY LUCAS CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730115676
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 21043 | SC | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 05/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 210435 | — | SC |
| 01 | — | 57-1004971003 | BCBS OF SC | SC |
| 01 | — | 7742353 | AETNA | SC |