Clark, Leonard Lionel

Clark, Leonard Lionel is an individual health care provider with primary practice located at 1801 San Juan Dr , Sherman TX 75092. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Clark, Leonard Lionel can be contacted via phone (903) 892-3012.

Contact Information

Primary practice address
1801 San Juan Dr Sherman TX 75092
Phone: (903) 892-3012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 78396 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 562123 Texas

Profile Details

NPI number 1285794768
LBN Legal business name Clark, Leonard Lionel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 5th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285794768 NPPES
Other 045542 AANA CERTIFICATION

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