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Contact Information

LORETTA A CLARK, LMP
216 W PACIFIC AVE
SUITE 205
SPOKANE, WA99201-3661
 Phone: 509-413-7070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for LORETTA A CLARK · (Female)

NPI Number 1720377278
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 04/05/2011
Last updated 11/10/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA60097219
Hospital affiliation(s) Not Available
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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