Individual
LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN205830
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022345A
—
GA
Enumeration date
02/18/2019
Last updated
02/18/2019
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