Individual
LAELA RAE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E NORFOLK AVE, NORFOLK, NE 68701-5323
(402) 933-0680
Mailing address
PO BOX 939, BELLEVUE, NE 68005-0939
(402) 933-0680
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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