Individual
MRS. LAUREN JEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721-1932
(301) 390-3076
Mailing address
20410 CENTURY BLVD, SUITE 215, GERMANTOWN, MD 20874-1186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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