Individual
DR. SHANNON LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
423 MAIN ST, REINBECK, IA 50669-1049
(319) 345-2831
(319) 345-6626
Mailing address
423 MAIN ST, REINBECK, IA 50669-1049
(319) 345-2831
(319) 345-6626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05831
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118703
—
IA
Enumeration date
08/03/2005
Last updated
09/20/2012
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