Lee Ann Clark PA-C

NPI 1770562381 - Physician Assistant - 363A00000X

NPI Details
NPI 1770562381
Gender Female
Enumeration Date 01/11/2006
Last Updated 07/24/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3288 MOANALUA RD
HONOLULU HI, 96819-1469, US
Phone (808) 432-7448
Fax (808) 432-7452
Business Location
3288 MOANALUA RD
HONOLULU HI, 96819-1469, US
Phone (808) 432-7448
Fax (808) 432-7452
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9101881
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According to our database, Mrs. Lee Ann Clark PA-C NPI is 1770562381, taxonomy code is 363A00000X and license number is PA9101881, license state is located at Florida. Lee Ann Clark PA-C physically located at 3288 Moanalua Rd, Honolulu HI, 96819-1469. NPI Number Lee Ann Clark PA-C has the Individual type.

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1770562381 NPI number is provided on an as is basis without warranty of any kind. 1770562381 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Ann Clark PA-C are for informational purposes only.