Individual
MS. LUANN S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
LUANN CLARK 1001 EDGEWATER RD, FORT ATKINSON, WI 53538-1901
(920) 568-1203
Mailing address
LUANN CLARK 1001 EDGEWATER RD, FORT ATKINSON, WI 53538
(920) 568-1203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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