Clark, Letricia Lenise

Clark, Letricia Lenise is an individual health care provider with primary practice located at 461 W Huron St Ste 107 , Pontiac MI 48341-1601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Letricia Lenise can be contacted via phone (248) 724-7600.

Contact Information

Primary practice address
461 W Huron St Ste 107 Pontiac MI 48341-1601
Phone: (248) 724-7600
Fax: (248) 724-6800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704261814 Michigan

Profile Details

NPI number 1255844023
LBN Legal business name Clark, Letricia Lenise
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Jan 27th, 2026 - about 10 months 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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