Clark, Laura

Clark, Laura is an individual health care provider with primary practice located at 2241 Thornton Taylor Pkwy , Fayetteville TN 37334-3637. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Laura can be contacted via phone (931) 433-6456.

Contact Information

Primary practice address
2241 Thornton Taylor Pkwy Fayetteville TN 37334-3637
Phone: (931) 433-6456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245540558
LBN Legal business name Clark, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 16 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.

Request for update

Popular Providers