Individual
LYREVA J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFNP-C
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3400
Mailing address
PO BOX 551, HANNIBAL, MO 63401-0551
(573) 588-4134
(573) 588-4876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003005715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429238306
—
MO
Enumeration date
12/20/2005
Last updated
09/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us