Search › Louisiana › 111N00000X
Jacob Clark, D.C
NPI 1003864620 · on the registry since 2006
Practice
- Address
- 854c Kaliste Saloom Rd
Lafayette, LA 70508 - Phone
- (337) 232-3353
- Fax
- (337) 232-9304
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana