Individual
LINDSAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 COLUMBIA RD, WESTLAKE, OH 44145-1493
(866) 320-4573
Mailing address
2092 MARLOWE AVE, LAKEWOOD, OH 44107-5947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006990
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
08/21/2022
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