Lance Clark, PT

Physical Therapist · Grove, OK

Individual Active NPI

NPI number 1568846954

Practice location

4621 Us Highway 59
Grove, OK 74344-4237
Phone
(918) 786-3797
Fax
(918) 786-7395

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NPI record

NPI
1568846954
Entity type
Individual (Type 1)
Enumeration date
July 15, 2015
Last updated
July 15, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 3064 OK

About Lance Clark

Lance Clark, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 4621 Us Highway 59, Grove, OK 74344-4237. The NPI number 1568846954 was assigned on July 15, 2015 and the record was last updated on July 15, 2015.

Lance Clark lists a license in the registry: #3064 (OK) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lance Clark, PT?

The NPI number is 1568846954.

What is the phone number of Lance Clark?

The phone number listed for the practice location is (918) 786-3797.

Where is Lance Clark located?

4621 Us Highway 59, Grove, OK 74344-4237.

What is the taxonomy code for Lance Clark?

The primary taxonomy code is 225100000X – Physical Therapist.

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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