Clark, Lorraine
Clark, Lorraine is an individual health care provider with primary practice located at 6149 N Wayne Rd , Westland MI 48185-7128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clark, Lorraine can be contacted via phone (734) 728-2130.Contact Information
Primary practice address
6149 N Wayne Rd
Westland MI 48185-7128
Phone: (734) 728-2130
Fax: (734) 728-2626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101008704 | Michigan |
Profile Details
| NPI number | 1710075023 |
|---|---|
| LBN Legal business name | Clark, Lorraine |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710075023 | NPPES |
| Michigan | MEDICAID | 4835287 |
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