Individual
LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
418 CURIE BLVD, PHILADELPHIA, PA 19104-4217
(215) 898-4271
Mailing address
133 E ORMOND AVE, HADDON TOWNSHIP, NJ 08107-1217
(856) 873-2797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18275800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15473400
NJ
Other
Enumeration date
06/16/2025
Last updated
02/20/2026
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