Individual
MRS. LAURA ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
120 COLONIAL PROMENADE PKWY, ALABASTER, AL 35007-3155
(205) 421-2088
(205) 278-7660
Mailing address
195 SWEETBAY DR, MAYLENE, AL 35114-4942
(205) 568-9827
(205) 278-7660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-120961
AL
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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