Individual
LAURA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
104 E US HIGHWAY 60, MOUNTAIN VIEW, MO 65548-7381
(417) 934-2251
Mailing address
104 E US HIGHWAY 60, MOUNTAIN VIEW, MO 65548-7381
(417) 934-2251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015028255
MO
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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