Jodi Lynn Clark O.D.

NPI 1053319673 - Optometrist - 152W00000X

NPI Details
NPI 1053319673
Gender Female
Enumeration Date 07/08/2005
Last Updated 04/30/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
17001 HAWTHORNE BLVD
SUITE B
LAWNDALE CA, 90260-3302, US
Phone (310) 370-3360
Fax (310) 370-6227
Business Location
202 VIA MESA GRANDE
REDONDO BEACH CA, 90277-6639, US
Phone (310) 373-1624
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 9934T
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According to our database, Dr. Jodi Lynn Clark O.D. NPI is 1053319673, taxonomy code is 152W00000X and license number is 9934T, license state is located at California. Jodi Lynn Clark O.D. physically located at 17001 Hawthorne Blvd, Lawndale CA, 90260-3302. NPI Number Jodi Lynn Clark O.D. has the Individual type.

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1053319673 NPI number is provided on an as is basis without warranty of any kind. 1053319673 is maintained by the National Plan & Provider Enumeration System. The contents of Jodi Lynn Clark O.D. are for informational purposes only.