Organization
LARK MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S HOUSEWRIGHT FNP (OWNER)
(423) 393-4052
Entity
Organization
Contact information
Practice address
275 HIGHWAY 11 E, BULLS GAP, TN 37711-3417
(423) 393-4052
(423) 933-2915
Mailing address
PO BOX 8, BULLS GAP, TN 37711-0008
(423) 393-4052
(423) 933-2915
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
APN0000006848
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009488
—
TN
Enumeration date
05/28/2014
Last updated
04/27/2022
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