Individual
LUCIA ANN-REBECCA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17584 MISSISSIPPI ST, LOWELL, IN 46356-9794
(219) 252-5862
Mailing address
17584 MISSISSIPPI ST, LOWELL, IN 46356-9794
(219) 252-5862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10250500
IN
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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