Individual
LAURA DENISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
285 BIELBY RD, LAWRENCEBURG, IN 47025-1096
(513) 680-4653
Mailing address
23895 SALT FORK RD, LAWRENCEBURG, IN 47025-8399
(513) 680-4653
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012961A
IN
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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