Clark, Lori Damon

Clark, Lori Damon is an sole proprietor health care provider with primary practice located at 316 Main Street , Lake Village AR 71653. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Clark, Lori Damon can be contacted via phone (870) 265-3950.

Contact Information

Primary practice address
316 Main Street Lake Village AR 71653
Phone: (870) 265-3950
Fax: (870) 265-2525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A295 Arkansas

Profile Details

NPI number 1114258530
LBN Legal business name Clark, Lori Damon
Credentials OT-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2010
Last updated Nov 24th, 2020 - about 5 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 1114258530 NPPES
Arkansas MEDICAID 139834721

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