Individual
DR. JACOB SCOTT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
854C KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 232-3353
(337) 232-9304
Mailing address
854C KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 232-3353
(337) 232-9304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1322
LA
Other
Enumeration date
05/05/2006
Last updated
05/02/2008
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