Individual
CLARK WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 O ST STE 105, LINCOLN, NE 68510-2485
(402) 630-1275
Mailing address
6628 PLATTE AVE APT 1, LINCOLN, NE 68507-1457
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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