Individual
NANCI LEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
7828 WAKELEY PLZ, OMAHA, NE 68114-3650
(402) 926-2600
(402) 926-2605
Mailing address
7828 WAKELEY PLZ, OMAHA, NE 68114-3650
(402) 926-2600
(402) 926-2605
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
292
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025113300
—
NE
Enumeration date
10/18/2006
Last updated
12/11/2012
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