Individual
LUCY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
3006 EDWARDS POINT RD, SIGNAL MOUNTAIN, TN 37377-1209
(305) 297-2222
Mailing address
3006 EDWARDS POINT RD, SIGNAL MOUNTAIN, TN 37377-1209
(305) 297-2222
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
249376
TN
163WN0002X
Neonatal Intensive Care Registered Nurse
249376
TN
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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