Organization
CLARK INTEGRATED MEDICAL CLINICS LLC
Active
Other names
Clark Integrated Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB SCOTT CLARK DC (OWNER)
(337) 232-3353
Entity
Organization
Contact information
Practice address
401 E VEROT SCHOOL RD, LAFAYETTE, LA 70508-3315
(337) 232-3353
(337) 232-9304
Mailing address
401 E VEROT SCHOOL RD, LAFAYETTE, LA 70508-3315
(337) 232-3353
(337) 232-9304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/23/2018
Last updated
07/25/2025
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