Individual
LORINDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LUNA ST SE, LOS LUNAS, NM 87031-9277
(505) 565-1619
(505) 565-1620
Mailing address
200 STATE ROAD 45 SW, ALBUQUERQUE, NM 87105-8015
(505) 565-1619
(505) 565-1620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
05/02/2008
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