Individual
COURTNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1717 OAK PARK BLVD, LAKE CHARLES, LA 70601-8991
(337) 494-4900
(337) 494-4963
Mailing address
1717 OAK PARK BLVD, LAKE CHARLES, LA 70601-8991
(337) 494-4900
(337) 494-4963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08371
LA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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