Individual
MRS. LEE ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
74-517 HONOKOHAU ST, KAILUA KONA, HI 96740-2715
(808) 334-4400
Mailing address
74-517 HONOKOHAU ST, KAILUA KONA, HI 96740-2715
(808) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-184
HI
363A00000X
Physician Assistant
PA9101881
FL
Other
Enumeration date
01/11/2006
Last updated
05/27/2021
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