Individual
CLARK LEWIS CARTHRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1227 ASHLEY CIRCLE, BOWLING GREEN, KY 42104-3383
(270) 781-1354
(270) 781-7308
Mailing address
1227 ASHLEY CIRCLE, BOWLING GREEN, KY 42104-3383
(270) 781-1354
(270) 781-7308
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16213
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64162134
—
KY
Enumeration date
09/26/2006
Last updated
07/08/2007
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