Individual
LANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
820 S ALMA DR STE 110, ALLEN, TX 75013-3810
(214) 383-0623
Mailing address
820 S ALMA DR STE 110, ALLEN, TX 75013-3810
(214) 383-0623
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1357609
TX
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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