Individual
LAURA CAITLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 N NORTHWEST HWY APT 2F, PARK RIDGE, IL 60068-3258
(337) 207-4301
Mailing address
417 N NORTHWEST HWY APT 2F, PARK RIDGE, IL 60068-3258
(337) 207-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/26/2023
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