National Provider Identifier Database

LORETTA A CLARK, LMP – NPI #1720377278
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

LORETTA A CLARK, LMP
216 W PACIFIC AVE
SUITE 205
SPOKANE, WA99201-3661
Phone: 509-413-7070
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for LORETTA A CLARK

NPI Number 1720377278
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 04/05/2011
Last updated 11/10/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: MA60097219
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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