Individual
DR. LANA JOHNSON CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6142 US HWY 98, STE 10, HATTIESBURG, MS 39402-8530
(601) 450-1123
(601) 450-1127
Mailing address
6142 US HWY 98, STE 10, HATTIESBURG, MS 39402-8530
(601) 450-1123
(601) 450-1127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
313000
MS
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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