Individual
ANNA ELIZABETH LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-9993
Mailing address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4865
SC
Other
Enumeration date
10/04/2023
Last updated
02/29/2024
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