NPI Profile for LORI CLARK in ELYRIA, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
363LC0200X | 50 | Nurse Practitioner | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1568094530 |
|
| Status | Active | |
| Credentials | ACNP | |
| Entity | Individual | |
| Enumeration date | 02/07/2020 | |
| Last updated | 02/13/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LORI CLARK
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