Individual
LAURA D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 E SUNSHINE ST STE 118, SPRINGFIELD, MO 65804-1152
(417) 207-2441
(417) 281-3559
Mailing address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
(417) 875-4710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001017661
MO
363LF0000X
Family Nurse Practitioner
2013019734
MO
Other
Enumeration date
06/04/2013
Last updated
07/26/2023
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