Individual
MS. LENNON LONNIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
533 CLARMAR DR NE, SALEM, OR 97301-4826
(503) 363-4051
(503) 339-2985
Mailing address
533 CLARMAR DR NE, SALEM, OR 97301-4826
(503) 999-1641
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10217471
OR
Other
Enumeration date
12/28/2007
Last updated
10/20/2021
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