Individual
CLARK LOMBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
(916) 561-7793
(916) 561-7566
Mailing address
10601 BEAR HOLLOW DRIVE, BOX 31, RANCHO CORDOVA, CA 95670
(916) 854-3879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
789909
CA
363LF0000X
Family Nurse Practitioner
Primary
95006613
CA
Other
Enumeration date
12/29/2014
Last updated
05/13/2025
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