Laura Caitlin Clark

Physician Assistant · Park Ridge, IL

Individual Active NPI

NPI number 1114631728

Practice location

417 N Northwest Hwy Apt 2f
Park Ridge, IL 60068-3258
Phone
(337) 207-4301

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NPI record

NPI
1114631728
Entity type
Individual (Type 1)
Enumeration date
January 9, 2023
Last updated
January 26, 2023
Certified
January 26, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Laura Clark

Laura Caitlin Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 417 N Northwest Hwy Apt 2f, Park Ridge, IL 60068-3258. The NPI number 1114631728 was assigned on January 9, 2023 and the record was last updated on January 26, 2023.

Frequently asked questions

What is the NPI number of Laura Caitlin Clark?

The NPI number is 1114631728.

What is the phone number of Laura Clark?

The phone number listed for the practice location is (337) 207-4301.

Where is Laura Clark located?

417 N Northwest Hwy Apt 2f, Park Ridge, IL 60068-3258.

What is the taxonomy code for Laura Clark?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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