SearchArizona101YS0200X

Lauretta Clark

NPI 1013194000 · on the registry since 2008 · sole proprietor

Practice

Address
4068 E Pecos Rd
Gilbert, AZ 85295
Phone
(480) 279-7321
Fax
(480) 279-7305
Clinicians at this address
4

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-11

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 Arizona