Ursula Lori Clark
Contractor · Lake Park, GA
NPI number
1710562129
Practice location
4700 Rolling Pine Dr Apt D25Lake Park, GA 31636-4935
- Phone
- (305) 877-6401
NPI record
- NPI
- 1710562129
- Entity type
- Individual (Type 1)
- Enumeration date
- March 17, 2021
- Last updated
- March 17, 2021
- Certified
- March 17, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Ursula Clark
Ursula Lori Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 4700 Rolling Pine Dr Apt D25, Lake Park, GA 31636-4935. The NPI number 1710562129 was assigned on March 17, 2021 and the record was last updated on March 17, 2021.
Frequently asked questions
What is the NPI number of Ursula Lori Clark?
The NPI number is 1710562129.
What is the phone number of Ursula Clark?
The phone number listed for the practice location is (305) 877-6401.
Where is Ursula Clark located?
4700 Rolling Pine Dr Apt D25, Lake Park, GA 31636-4935.
What is the taxonomy code for Ursula Clark?
The primary taxonomy code is 171W00000X – Contractor.
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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