Clark, Donald Lee

Clark, Donald Lee is an individual health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4713. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clark, Donald Lee can be contacted via phone (618) 798-3000.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4713
Phone: (618) 798-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019719 Illinois

Profile Details

NPI number 1366090573
LBN Legal business name Clark, Donald Lee
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2019
Last updated Aug 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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