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Organization

LOWELL F CLARK MD PA

Active
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Organization

LOWELL F CLARK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOWELL F. CLARK (OWNER)
(352) 793-2441
Entity
Organization

Contact information

Practice address
910 W MYERS BLVD, MASCOTTE, FL 34753-9748
(352) 557-8700
Mailing address
212 S FLA ST, BUSHNELL, FL 33513-6703
(352) 793-2441

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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